IND-AF-00097-EN-01 (July 2013)
Volumetric Flow Meter
Complete form as much as possible. (*Required Information)
Date*
CUSTOMER CONTACT INFORMATION*
Sales Contact: Company:
Email: Phone: Address 1:
Engineering Contact: Address 2:
Email: Phone: City:
End User Contact: State: Zip:
Email: Phone: Phone: Fax:
Is the address above same as the installation destination address? Yes No
If no, please provide a destination address, since requirements may vary by location:
FLUID PROPERTIES*
Fluid Media
Indicate any other known information relevant to the Fluid Media (brand, type, MIL std. or similar information):
For liquids, complete: For gases, complete:
Suspended Solids: % Specific Gravity:
Viscosity: Units: Molecular Weight:
Specific Gravity: Density: Units:
Molecular Weight:
Density: Units:
Conductivity Value: μ /cm
Ω
Application Data Sheet
Volumetric Flow Meter Application Data Sheet
PROCESS INFORMATION*
Application
Industry
Parameter Units Minimum Normal Maximum
Flow Range
Pressure
Temperature
Desired Accuracy Needed Full Scale Reading
Bi-directional? Yes No
Batching? Yes No
COMMUNICATION PROTOCOL/OUTPUTS
Network
Analog/Digital Outputs
4-20 mA Qty Total Pulse Qty
0-10V DC Qty Relay Qty
0-5V DC Qty Other Qty
Frequency Qty None
Rate Pulse Qty
PHYSICAL DIMENSIONS/ENVIRONMENT (fill in known information, leave blank for unknown, use N/A for not applicable)
Line Size (O.D.)
Pipe Material
Pipe Schedule or Wall Thickness
Pipe Liner Material Thickness
Full Pipe? Yes No
Are flow straighteners needed? Yes No
Pipe Orientation
Flow Direction
Process Connection
What power is available?
Hazardous Area
Submersible? Yes No
Certifications Required
Page 2 July 2013