<p>R A T Cooper Power™ Series Substation Transformer Request Form. I C * Indicates Mandatory Fields - A Quotation cannot be provided without this information. ON GM *Customer Name/SAP Partner Number: * End User: End User Proposal No.: SM E R *Customer Location: City State * End User Location: City State C I * Job Name: * Job Location: City State A L * Sales Person: Company: *Your Due Date : </p><p>* Base kVA: * Number of Units: Fluid: Oil (Alt) * Frequency: 60Hz 50Hz * Phase: 3Ø 1Ø * Cooling: K(O)NAN * Temp Rise: 55° 55°/65° * Impedance: ANSI Std. </p><p>K(O)NAN/K(O)NAF 750kVA & Up 65° 75° PEAK 65°/75º PEAK Other K(O)NAN/Fut. K(O)NAF 750kVA & Up 55°75º PEAK (PEAK requires FR3) Taps: Split @2.5% Steps All 4 Below @2.5% Steps Other: </p><p>P * Voltage: Delta Wye BIL HV Winding Material: Aluminum (Standard) Copper R HV Sidewall Mounted Type: Spade Holes Eyebolt Condenser Style I *Segment: Please Choose M Bushings: Cover Mounted Dead Front: Wells only Wells w/ inserts Dead-break A Front R * HV Termination: None Partial Ht. ATC Full Ht. ATC Cable Entry: Top Bott. Flange Throat (for conn. to bus duct) Y * HV Arrester: UltraSIL Polymer Rating Please Choose Class Please Choose </p><p>S * Voltage: Delta Wye BIL LV Winding Material: Aluminum (Standard) Copper E C LV Sidewall Mounted Type: Spade Holes Eyebolt Condenser Style O *Segment: Please Choose Bushings: Cover Mounted Dead Front: Wells only Wells w/ inserts Dead-break N Front D * LV Termination: None Partial Ht. ATC Full Ht. ATC Cable Entry: Top Bott. Flange Throat (for conn. to bus duct) A R * LV Arrester: UltraSIL Polymer Rating Please Choose Class Please Choose Y ◙ Liquid Level gauge Contacts Must Supply complete Description of Under Oil 2 position Load-break Switch CT s’. ◙ Liquid Temp gauge Contacts VFI (Vacuum Fault Interrupter) Please Choose HV CT: Qty/Phase O P Ratio Acc Class C T ◙ Pressure/Vacuum gauge Contacts LV CT: Qty/Phase I Ratio Acc Class C O Cover mount PRD Contacts Paint: ANSI 61 Light Gray ANSI 70 Sky Gray N Neutral CT: Rapid-Rise Relay w/seal-in panel Other: A Ratio Acc Class C L ◙ Drain Valve Winding Temp. Ind. (one in middle phase) Listings: UL Listed UL Combination Add. CTs: See Spec page A C Control Box: NEMA 4 NEMA 4X Listed/Classified FM Approved C Conduit Type: SO Cable ALL PER APPLICABLE E * Location: Outdoors Indoors S Liquid Tight Flexible Indoors w/ Containment Pan ANSI STANDARDS ONLY S RGS >30” & Flex Metallic <30” O Area Classification: ◙ Non-Hazardous R Accessories Not Listed I E Site Considerations Ambient: 30 C Avg, 40 C Max Other: Seismic Zone 4: Yes S Elevation: <3300 ft (standard) Other: Remarks Envirotemp™ and FR3™ are licensed trademarks of Cargill, Incorporated.</p><p>Form# MKT-03-0105-F6D Rev 7</p>