Boiler Data Sheet

If you and your organization would like further information about how Emulsion to Combustion™ technology can work in your boiler or engine configuration, please fill out and submit the form below, or download and fill out this
printable formPDF and mail to:

CavitroniX™ Corporation
14570 Industrial Park Rd.
Bristol, VA 24202

Your Company Info (Required at Inquiry)
Company Name
Company Address
Company Phone
Contact Name
Contact Phone
Contact e-mail
Engineer/Facility Manager & phone, e-mail

Boiler Information (Required at Inquiry)
Type of Boiler, Make & Model
Boiler Location
Fuel Type
Oil Consumption Rates  
Annual Consumption
Fuel Temperature Requirement
Existing Lift Pump and
Pressure Delivered
Nozzle Pressure Required and
Source Of Pressure

Delivery Inlet Flow  
Flow Type
Purge Time
Return Pressure
Return Flow  
Fuel Pipe Size
Return Pipe Size

Recent Performance Data (If available)
Recorded Efficiency
Carbon Dioxide
Exhaust Gas Temperature
Type of Atomization
Size and Location of Filters/strainers
Supplied Combustion Air Temperature
Nitrogen Oxides

Utilities Available
Water Source & Pressure Available
Power Available
Space Limitations

Other Information
Typical duration of boiler/engine operation
Type of Controls
Boiler start/stop signal
Is Manufacture Information Available? YesNo
Do you switch fuels during the year? Yes No
Which months is it operated? (hold cmd/ctrl down while clicking to select multiple months)
Hours operated