Worldwide Inline Process Control Solutions

Application Questionnaire

Please complete as much of this form as possible to assist us in providing you the best solution for your application.(*Required fields)

Contact Information

*First Name:

*Last Name:

*Email:

*Company Name:

*Industry:

Other industry:

Address 1:

Address 2:

City:

State:

*Country:

*Postal Code:

*Phone:

Fax:

Process Description

Describe your process, what measurements are required, also include other factors for consideration. (ie gas bubbles, coatings etc)

Describe your medium when it's:

Acceptable (i.e. clear, pale)

Unacceptable (i.e. cloudy, yellowish)

How is your process monitored currently?

Inline, lab analysis (cite any laboratory methods and include unit scales and ranges )

Process Conditions

	Minimum	Operating	Maximum
Temperature:			°C °F
Pressure:			bar psi
pH value:

Area Classifications:

Non-Hazardous

Hazardous

Class	Zone /Division	GasGroup(s)	Temp Class

Other

ATEX FM (Factory Mutual)

Does your process cause scaling or coatings on the pipe walls?

Yes No

Is your pipeline cleaned in place (CIP)?

Yes No

Please list the material(s) and/or chemical(s) that form the composition of your process stream:

Constituent	Low	Normal	High	Conc. / Units	Dissolved	Suspended

Which of the constituents do you wish to monitor? 1 2 3 4

Additional Information

Which power source would you need?

24V 115V 230V

Process Connection:
Flange:	ASME	DIN	JIS
Clamps:	Tri-Clamp	DIN	ISO
Threaded:	NPT	DIN	DIN (11851)
Tube Ends:	ISO	DIN	OD
Other:

Process Line Size:

OD IPS Metric

Sensor Body Material:

SS 316L SS 316Ti Titanium Hastelloy Teflon® PVC

O-ring Seal Material:

EPDM Viton Kalrez Silicone

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