Industrial Controls Quotation 1/4/2008 Page 2 of 2

Industrial Controls Quotation 1/4/2008 Page 2 of 2

Flow Application Data Sheet

Company: ______Contact: ______

Address: ______

City/State/Zjp: ______

Phone: ______Fax: ______Email: ______

ICD Sales Person: ______

Fluid Data

Fluid Name ______

Liquid Gas Steam Slurry Notes: ______

Fluid conductivity if liquid or slurry (micromhos/cm) ______

Temperature (Minimum/Maximum/Normal) ______

Pressure (PSIG) (Minimum/Maximum/Normal) ______

Density (Minimum/Maximum/Normal) Specific Gravity ______lb/ft3______Other______

Viscosity (Minimum/Maximum/Normal) _____ CP ______CST ______SSU

Pipe Data

Size ______Material ______

Class/Schedule ______Lined? Yes, liner material ______No

Instrument Settings

Flow units ______Full Scale Flow______Minimum Flow______Normal Flow______

Preferred Flow Meter Output  4-20 ma _____  pulse______ other______

Output Destination:  controller______ recorder _____ DCS _____ PLC _____  BMS______

Indicator  Yes _____  No ______

Power Available  115 VAC _____  24 VDC _____ Electrical Class.  General Purpose ___  Explosion Proof

Special Considerations ______

Other Items Needed:

 Valves _____ Solenoid Valves ____  Gauges ____  Wireless

 Start-up _____