Ultrasonic Level, Volume & Open Channel Flow Application Questionnaire REFERENCE INFORMATION Application same as previous Order #: Customer/Company: Date: City, State, Country: signature Contact/Title: FOR OFFICE USE: Phone: Fax: E-mail: RFQ Number: P. O. Number: Tag Number(s): Submitted by: Rep Agency and Salesperson TRANSMITTER INFORMATION Desired Outputs: mA Output HART Rep Code: # of Relays: Other: Required Materials of Construction: Electronics Housing: Agency: FM ATEX CSA Transducer: Area Classification: General Purpose Hazardous: Class Hazardous Area Design: Explosion-proof Model Number: Electronics: Intrinsically Safe Div Groups Nonincendive Other Transducer: Cabling: Quantity of Units: PROCESS DATA Application: Process Liquid: Ambient Process Temperature: Atmosphere Process Pressure: Air Space: Vapors? Surface Foam: None Turbulence: None Steam? LEVEL/VOLUME APPLICATION Tank Type: Vertical Cylinder Tank Top: Flat Dome min. max. Heavy Horizontal Cylinder Irregular Sphere Yes Other Dish Diameter Cone Flange (size/type) Nozzle: Height Diameter Bottom Stilling Well: No Side (at what level?) kPa Other Speed (RPM): Other: Unit of Measure: Minimum Liquid Level Height?: Process Connection: NPT Other Bar No Sump/Pit Tank Bottom: Flat °C PSIG Mixer/Agitator: Width Maximum Liquid Level Height?: °F Maximum thickness of foam layer: Medium Tank Size: Height Type of Filling: Top max. Gas Blanket? (N2) Light Light min. Unit of Measure: Yes (diameter/length) OPEN CHANNEL FLOW APPLICATION Flume: Size/Type Maximum Flow: Mounting Connection: NPT Weir: Size/Type Maximum Head: Flange (Size/Type) Other: Reference Distance: Totalizer Units: BULLETIN: 51-380.0 EFFECTIVE: September 2011 705 Enterprise Street • Aurora, Illinois 60504-8149 • 630-969-4000 • Fax 630-969-9489 firstname.lastname@example.org • www.magnetrol.com Copyright © 2013 Magnetrol International, Incorporated. All rights reserved. Printed in the USA.