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Industry Solutions     Oilsands     Minerals Processing     Pulp & Paper     Power Generation             Corporate Services   About CiDRA     Suppliers     Partner Secure Site     Investor Relations     Career Opportunities     Technical Support     Home     Process and Device Specification Forms Technical Datasheet Application Info Web Submission Quick Reference Installation Distances Quick Start Guide Model# Configuration System Envelope Installation Manual Certifications   Application Information Form for Gas * = required. Industry Chemical/Petrochemical Food & Beverage Metals Processing Oil Sands Refining Pharmaceutical Power Pulp & Paper Wastewater & Water Other Main Contact Information    Company * First Name * Last Name    Position    Address 1    Address 2    City    State/Prov Choose AL AK AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Alberta British Columbia Manitoba Newfoundland New Brunswick Northwest Territories Nova Scotia Ontario Print Edward Island Quebec Saskatchewan Yukon    Zip/Postal code    Country * Phone    Fax * E-mail Installation Site (if different)     Address 1     Address 2     City     State/Prov Choose AL AK AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Alberta British Columbia Manitoba Newfoundland New Brunswick Northwest Territories Nova Scotia Ontario Print Edward Island Quebec Saskatchewan Yukon     Zip/Postal code     Country Provide Brief Description of Application Installation Information Area within plant where meter will be installed. Flow Meter Mount Location Choose Indoor Outdoor Other       If other, please describe        Area Classification Non Hazardous Class 1 Div 1 Class 1 Div 2 Zone 0 Zone 1 Zone 2 Is there an existing flow meter on this line, or has one been tried on this line? If so, which technology? Choose Coriolis DP Magnetic Ultrasonic in-line Ultrasonic clamp-on Vortex Other Non Applicable What are the problems with the current technology (If any)? Flow Parameter Flow Rate cubic meter cubic feet linear feet liters meters pounds SCF sec min hr day Min Max Nom Pressure psig bar bar_g ft_H2O kPa kPag kg/cm2 kg/cm2g psia psig Min Max Nom Gas Temp F C K Min Max Nom Gas Viscosity centistokes cm2 cP ft2 g/cm2 kg/m lb/ft lb/in m2 mPa P Pa stokes sec min hr Min Max Nom. Gas Density g/cm3 kg/cm3 kg/m3 lb/ft3 lb/gal Min Max Nom. Multiphase Gas Stream No Yes Maybe Pipe Characteristics Pipe Material Choose Carbon Steel Fiberglass PVC Stainless Steel Other Pipe Size       inch mm ID OD Pipe Schedule/Gauge Choose Schedule 5 Schedule 10 Schedule 20 Schedule 30 Schedule 40 Schedule 60 Schedule 80 Schedule 100 Schedule 120 Schedule 140 Schedule 160 Gauge 3 Gauge 7 Gauge 10 Gauge 11 Gauge 12 Gauge 14 Other Additional Pipe Specifications if available (i.e. ASTM, ASNI, IEC, DN detail related info) Distance from Obstructions/Valves/Elbows/Pumps (specified in pipe diameters):       Upstream: Downstream: Meter Orientation Choose Horizontal Vertical Angle Flow Orientation Choose Flowing Up Flowing Down Non Applicable Unknown Full Pipe Yes No Lined Pipe     No Yes     Type of Liner Choose Rubber Teflon Other Non Applicable Transmitter Requirements Mounting Panel Mount 2" Pipe Voltage 85-264 vac 24 vdc Other Mount Location Choose Indoor Outdoor Other       If other, please describe        Ambient Temp     F C Min Max Nom Cable Length Requirements Distance from Sensor Head to Transmitter Feet Meters Distance from Transmitter to Control Room Feet Meters Reasons for considering an alternative technology. Please comment/Rank on a scale of 1-5/5 being the highest. Safety 1 2 3 4 5 Comment Reliability 1 2 3 4 5 Comment Repeatability 1 2 3 4 5 Comment Cost 1 2 3 4 5 Comment Accuracy of Reading 1 2 3 4 5 Comment Low Cost of Ownership 1 2 3 4 5 Comment Clamp-On Feature 1 2 3 4 5 Comment Additional Comments     BF0008-Web Rev D.

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