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FLOW APPLICATION DATA SHEET

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DATE
COMPANY NAME
SMT ERP # (office)
REQUESTOR

INTENDED SERVICE-FLUID

APPLICATION
FLUID
% SOLIDS
% GASES
CONDUCTIVITY µS
FLOW RANGE/UNITS
FLUID PRESSURE
(RANGE/psig/psia)
POSSIBLE VACUUM (Y/N)
FLUID TEMPERATURE
(RANGE/F/C/K)
SPECIFIC GRAVITY
(SGU)
VISCOSITY (cP)

INTENDED SERVICE-APPLICATION PIPING

DIMENSIONAL UNITS
MILLIMETER INCH
PIPE MATERIALS
PIPE SCHEDULE
PROCESS CONNECTION TYPE
PIPE DIAMETER (A)
REDUCERS IN LINE (Y/N)
DIAMETER(B) NUMBER ECCENTRIC/CONCENTRIC
VALVES/ELBOWS TYPE/COUNT
VALVE TYPE COUNT ELBOW TYPE COUNT
STRAIGHT RUNS AT ∅ (A, B)
INTENDED FLOW SENSOR ORIENTATION
(VERTICAL/HORZONTAL/SLOPE)
PIPING INLET ELEVATION PIPING OUTLET ELEVATION FLOW SENSOR ELEVATION
FLOW DIRECTION
PIPING PLAN AND ELEVATION DRAWING PROVIDED (Y/N)
DRAWING ATTACHED (Y/N)

INTENDED SERVICE-ENVIRONMENTAL CONDITIONS

LOCATION ADDRESS
LOCATION INDOOR/OUTDOOR
LOCATION TEMPERATURE
(RANGE /F/C)
LOCATION AREA CLASS
POSSIBLE SUBMERGENCE OF FLOW TUBE (Y/N)

INTENDED SERVICE-TRANSMITTER ELECTRICAL/COMMUNICATIONS REQUIREMENTS

TRANSMITTER TYPE INTEGRAL/REMOTE
REMOTE TRANSMITTER DISTANCE FROM SENSOR
TRANSMITTER LOCATION INDOOR/OUTDOOR
ELECTRICAL SERVICE AVAILABILITY
ELECTRICAL SERVICE TYPE
TRANSMITTER OUTPUT (Y/N)
FLOW RATE
4mA =
20mA = 		FLOW TOTAL PULSE(S)/UNITS
TRANSMITTER ALARM (Y/N)
LOW ALARM VALUE HIGH ALARM VALUE
COMMUNICATIONS PROTOCOL TYPE

APPLICATION CONTACT INFORMATION

REQUESTOR
COMPANY NAME
STREET ADDRESS
CITY
STATE ZIP
COUNTRY
OFFICE PHONE
MOBILE PHONE
EMAIL

Terms and Conditions