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Application Information Form for Liquids
* = required.

Industry


Main Contact Information
   Company
* First Name
* Last Name
   Position
   Address 1
   Address 2
   City
   State/Prov
   Zip/Postal code
   Country
* Phone
   Fax
* E-mail

Sales Representative

    Name
    Company

Installation Site (if different)


    Address 1
    Address 2
    City
    State/Prov
    Zip/Postal code
    Country


Provide Brief Description of Application


Installation Information
Area within plant where meter will be installed.
Flow Meter Mount Location
      If other, please describe
      
Operating Temp Min Max Nom
Area Classification
Is there an existing flow meter on this line, or has one been tried on this line? If so, which technology?

What are the problems with the current technology (If any)?


Measurement Required
Volumetric Flow Rate
Gas Volume Fraction
Other Measurements Required


Flow Characteristics
Continuous/Batch Flow
Type of Liquid:
Percent Solids/Consistency:

Flow Parameters
Flow Rates Min Max Nom
Pressure Min Max Nom
Process Temp Min Max Nom


Entrained Air/Gas Present



Pipe Characteristics
Pipe Material
Pipe Size      
Pipe Schedule/Gauge
Additional Pipe Specifications if available (i.e. ASTM, ASNI, IEC, DN detail related info)
Pipe Circumference (if known):
Exterior Pipe Condition (painted, insulated, rusted, etc):
Pipe Obstructions/Valves/Elbows:

Distance from Pump:



Horsepower of Pump:



Distance from Obstructions/Valves/Elbows/Pumps (specified in pipe diameters):
      Upstream: Downstream:

Distance from Upstream Expansions (specified in pipe diameters):
Meter Orientation
Flow Orientation
Full Pipe
Lined Pipe         Type of Liner
Is the pipe periodically steam cleaned?


Transmitter Requirements

Mounting
Voltage
Mount Location
      If other, please describe
      
Ambient Temp     Min Max Nom

Cable Length Requirements

Distance from Sensor Header to Transmitter
Distance from Transmitter to Control Room


Reasons for considering an alternative technology.

Please comment/Rank on a scale of 1-5/5 being the highest.

Safety Comment
Reliability Comment
Repeatability Comment
Cost Comment
Accuracy of Reading Comment
Low Cost of Ownership Comment
Clamp-On Feature Comment
Additional Comments    
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