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Appendix A: Field Modification
Approval Request Form
64
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nVent.com
MI Heating Cable Field Modification Approval Request Form
For field modifications, where the heating cable length is changed by
more than three percent (3%), the change must be reviewed by nVent
and a new cable identification tag must be ordered.
SENDER INFORMATION
Contact Name:
Company:
Address: Telephone:
Fax:
Email:
Ship to address for Metal Tag (if different than above):
Reason for Cable Modification:
CABLE INFORMATION AND DESCRIPTION OF CHANGE
(All Fields MUST be Completed)
‘Original Tag Information’ may be found on the metal identification tag
attached to the cold lead. = Do NOT fill in this area
Original Tag information
New Tag Information
For Internal Use Only
Serial No
Amps
Max Surface Temp (°C)
Cable Design
Cable Reference
Cable Length
Ft
Meter
Ft
Meter
Watts
Volts
Cold Lead Length
Ft
Meter
Cold Lead Code (or AWG)
Joint Type
Connector
Ordinary Location Desig
Haz. Location Desig
Haz. Groups
Tag no.
Measured Resistance after Repair (ohms)
ADDITIONAL INFORMATION REQUIRED IF CABLE IS USED IN HAZ. LOCATIONS
Maintain Temp (°C)
Auto Ignition Temp (°C)
FOR INTERNAL USE ONLY
Cable Manufacture Review:
Print Name
Signature
Date
Metal Tag Part No.
Sales Order No.
If you have any questions regarding this form, please contact
nVent at 1.800.545.6258.
Please fill in this form and e-mail to [email protected].
nVent will review the change and advise if the modification
is appropriate.