SIEMENS APPLICATION INFORMATION FORM – Sitrans FUS

Company: / Name:
Address: / Phone:
Fax: / Date:
Country: / E-mail:

For multiple channels please fill out additional forms (include information different than stated here)

1. PIPE: Actual Outer Diameter: inches mm

Wall Thickness: inches mm

<OR> Nominal Pipe Size: inches mm Schedule:

Range of pipe sizes if more than one (Portable)

Pipe Material:

Liner Material: If Other:

Liner Thickness inches mm

Total straight run in pipe diameters:

Number of channels (different pipes to be measured) 1 2 3 4

Number of beams (single measuring point, if known) 2 3 4

For multiple channel meters please fill out one complete form and attached additional forms with different information for each channel: (sections 1, 2, 3, 7)

2. Liquid: List Range of liquids

Name or Description / Viscosity @ Temp
ºC ºF / S.G. or API @ Temp
ºC ºF / Sonic Velocity (if known) / Temp Range
ºC ºF
Min Typ Max / % Solids or Gas / Particle Size
@ / @
@ / @
@ / @
@ / @

For additional liquids use additional comments on Page 3 of 4.


3. Process:

Flow Rate: Min: Max: Typ: Flow Units: Time Units:

Fluid Temp Range: Min: Max:

Flow units to be:

Gross Volume (uncompensated)

<or> Corrected Volume (temperature compensated)

4. Flow Meter Electronics:

Enclosure Desired: Splash Proof IP65, Nema 4X

Flame/Explosion Proof (Nema7)

Weather resistant portable (up to 2 channels/beams only)

(Enclosure will be recommended based on Agency Approval selected)

Agency Approval:

None Required

FM/CSA Class 1, Div 1

Class 1, Div 2

ATEX Zone 0

Zone 1

Zone 2

Protection Type:

Input Power: 90-240VAC 50/60Hz

9-36VDC

Ambient temperature range: Min: Max: ºF ºC
Outputs:

Standard output offering: Enhanced output offering

Communication option: None (standard RS232 serial port)

Modbus

N2

(Communication options subject to area classification)

Tags: Stainless Steel Identification Tags Required

Not Required


5. Sensors:

Agency Approval:

None Required

FM/CSA Class 1, Div 1

Class 1, Div 2

ATEX Zone 0

Zone 1

Zone 2

Protection Type:

If Temperature is required: Clamp-on type Insert type 4-20mA input (customer supplied)

6. Sensor Mounting Tracks:

Standard Aluminum mounting frames

Stainless steel enclosures

Length of unobstructed pipe: Ft Meters

7. Cables:

Length from transducer to flow-meter: Ft meters


Type: Standard Submersible Armored Plenum

8. Environmental Conditions: (check best description)

Sensors: Indoors Outdoors

Corrosive Environment Offshore

Transmitter: Local Mounting at Sensor location Remote Mounting in Protected area.

Portable (kit) Degrees F C Ambient Temp

9. Desired Accuracy:

Accuracy Requested: +/- % of Actual Flow: -or- %Span:

Calibration type required: None Intrinsic NIST traceable Actual water flow cal / STD 4 point

Actual water flow cal / STD 6 point

Special Calibration Requirements:

Additional Comments:

CC357-E Rev 3 Page 4 of 4

Use this section to describe your application and for any other additional comments you may have

Insert a photo or a sketch of the application, if available: Simply copy and paste into this table. Bitmaps should be no larger than 640 X 480 Pixels.

Signature:______Date:____ / ____ / ____

CC357-E Rev 3 Page 4 of 4