Fuel Cell Site Assessment Submission
Site Name
Address
City
State/Province
ZIP/Postal Code
Contact Name
Contact Email
Contact Phone
Assessment Date
Assessor Name
Fuel Cell Type
PEM (Proton Exchange Membrane)
SOFC (Solid Oxide Fuel Cell)
PAFC (Phosphoric Acid Fuel Cell)
MCFC (Molten Carbonate Fuel Cell)
Proposed kW Capacity
Estimated Annual Operating Hours
Expected Installation Date
Site Description
Assessment Summary
Additional Notes