Requesting: (Please Check One)
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Project / Quote Request
Plant Name: Date of Request:
Internal Use Only: Requesting: (please check one) DCS: Quote: ___ HMI: Track time towards Support Agreement: ___ PN#: Track time towards Remote Support PO on file: ___ PO#: _____ Track towards PO#:______
Requested Date for Completion: _____/_____/_____ Emergent Request*: □ (check box) *(Emergency Service Rate will apply per our Engineering Service Rate Schedule.) Request Description:
Provide the following when applicable: Not Attachment(s) Item Narrative/Notes Applicable Y/N
Process control description of how you want the controls to work (including interlocks).
Not Attachment(s) Item Narrative/Notes Applicable Y/N
Tag Names w/descriptions for additions (ie: FT_100 process Water Flow).
Not Attachment(s) Item Narrative/Notes Applicable Y/N
I/O Channel assignment(s) (please note if you want Trident Automation to assign).
D:\Docs\2018-04-15\001f950e700ca06a19700c2141f7d5af.doc Item Narrative/Notes Not Attachment(s) Applicable Y/N
Instrument ranges with units as calibrated for installation. Not Attachment(s) Item Narrative/Notes Applicable Y/N
P&IDs w/additions ballooned or graphics screen shots w/mark-ups.
Not Attachment(s) Item Narrative/Notes Applicable Y/N
Instrument and valve specs to determine instrument I/O wiring and valve fail position.
Not Attachment(s) Item Narrative/Notes Applicable Y/N
Misc.: Alarms, trending and report requirements.
Yes No Interface to PLC
If yes please answer the following:
Type of PLC: ______
Hard-Wired I/O Ethernet Modbus 485 Type of Connection
If Ethernet what Protocol: ______If Hard-Wired voltage of the PLC’s Discrete IO: ______(DCS typically 120v) If Hard-Wired side supplying power (DCS orPLC): ______Ok to contact the PLC programmer directly: ______
D:\Docs\2018-04-15\001f950e700ca06a19700c2141f7d5af.doc If yes, please supply contact information: ______
Yes No N/A Update Wonderware Historian Update Web Server Add to HMI Trends Update Interlock Document Send Screen Shot(s) of Work
Pre-Deployment Review (Interlocks & logic will always prompt a review)
Plant Contact Name:
Plant Contact Signature: Date:
Please email requests to our Project Management Team at [email protected] or via fax 920.749.4877
D:\Docs\2018-04-15\001f950e700ca06a19700c2141f7d5af.doc