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