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© 2006
Applied Power Quality Solutions, LLC
Rad-X Medical Power Filtration System™
(Rad-X Filter)
Configuration Form
Please fill in this form then click
Send
to email the form to Applied Power Quality Systems.
Hospital Name:
Street Address:
City:
State:
ZIP:
Contact Name:
Telephone Number:
Email:
Application (CT, CATH, etc.):
Manufacturer (GE, Philips, etc.):
Model:
Voltage:
480/277
480
208/120
Voltage Configuration:
Wye
Delta
Main Circuit Breaker Size:
Amperes
Phase & Neutral Wire Size:
AWG
Ground Wire Size:
AWG