Power Agent Systems LLC • 589 Bethlehem Pike, Montgomeryville, PA 18936215-310-6243 ph• 302-341-3193 fax • www.poweragentsystems.com
General Information
Company*
Industry*
Contact Person*
Title*
Street Address*
City*
Zip Code / Mail Code*
Country*
State*
Office Phone*
Cell Phone*
Company Battery Profile (current or proposed)
# of Sites Company Wide:
# of Strings Company Wide
Average # of Cells per String:
# of Generators Company Wide
% of 2 Volt Batteries
% of 12 Volt Batteries
Monitoring Method Frequency & Information (Current)
Type of Equipment:
Hand Held
Permanent
Current Monitoring Frequency:
Annual
Quarterly
Monthly
Current Monitoring Percentage:
0-35%
36-70%
71-100%
What software packages are being used to
monitor other areas of the company?
How is information reported and distributed?
Monitoring Method Frequency & Information (Proposed)
Proposed Monitoring Frequency:
Quarterly
Monthly
Annual
36-70%
71-100%
0-35%
Proposed Monitoring Percentage:
What protocol will the software require?  
(SNMP, Modbus, DMP-3, Scada, etc)
Is there a recommended program or
reporting structure by regulatory agencies?
Monitoring System Preliminary Questions
Measurement
Yes
No
Measurement
Yes
No
Temperature
Charger Output Current
Voltage
Room Ambient Temperature
Ohmic Measurement
Individual Cell Voltage
AC Ripple Voltage
Pilot Cell Volts
AC Ripple Current
Specific Gravity, Each Cell
DC Float Current
Electrolyte Temp, Each Cell
Charger Output Voltage
Electrolyte Level, Each Cell
Proposed Method For Information Collection & Distribution
Paper Report
Battery Monitoring Software
Spreadsheet
Analytical Software
Company Monitoring Software
Reporting Software
Is There Internet Access at Every Site
Yes
No
Who will need to see this information?
(Dept and Title)
Specific PAS products that interest you:
Other comments or questions?
Thank you for your interest in Power Agent Systems' suite of products.  To better assist you
with product selection and installation, please complete the form below.  An application
engineer will contact you as soon as possible to discuss specific products.
PRODUCT
LINES
BMS Technical Information:
EMS Technical Information:
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