1. Application: 11. Installation Sketch: ( )

Application Worksheet Dust Detection & Particulate Monitoring 7201 N. 98th St. Lincoln, NE 68507 Phone: 800-278-4241 Fax: 402-434-9133 E-Mail: [email protected] Name____________________________________Job Title_______________________________________ Company__________________________Address______________________________________________ City__________________________________State___________________Zip________________________ Phone______________________________________Fax_________________________________________ E-mail Address:__________________________________________ Number of units to be quoted:________ 1. Application: 11. Installation Sketch: (include the following) • Pipe/Duct Dimensions • Location of Sensor Particulate Monitoring Filter Leak Detection Powder Flow Monitoring 2. Industry: Power Cement Steel Chemical Carbon Blk. Pharmaceutical Foundries Minerals Aluminum Incineration Food & Dairy Wood Other (specify) __________________ 3. Process: Stack Baghouse Cartridge Filter Pipe/Tube Other (specify) __________________ 4. Intended Purpose: Process Control Environmental Maintenance Combination Other (specify) __________________ 5. Primary Output: Alarm 4 - 20 mA 6. Process Pressure: (specify units) Maximum Normal Minimum _______________ _______________ _______________ 7. Process Temperature: (specify units) Maximum Normal Minimum _______________ _______________ _______________ 8. Coating: How much material buildup On sensor? ________ (specify units) 9. Ambient Temp. Range: (Specify Units) __________° to _________° ____ 10. Type of Particulate: Material (specify) _______________________ Fine (dust) Powder Granular 12. Mounting Connection: Nozzle: Length ________ Thread: Size ________ Flange: Size ________ Type ________ Facing ________ Sanitary: Size ________ Dia. ________ Type ________ Rating ________ 13. Duct or Pipe Parameters: (specify units) Pipe Diameter Duct Dimensions _______________ _______________ 14. Power Available: 115VAC 230VAC 24VDC 15. Pipe/Duct Construction: Steel Stainless Fiberglass/Plastic Other (specify) ____________________ 16. Vessel Location: Indoor Outdoor 17. Comments: __________________________ ______________________________________ ______________________________________
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