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APPLICATION QUESTIONNAIRE
INTEGRAL & REMOTE MOUNTED TRANSMITTERS AND NON-CONTACT DUAL POINT LEVEL SWITCH
COSENSE INC.
155 Ricefield Lane, Hauppauge, NY 11788-2007
Phone No. 631-231-0735
___Fax No. 631-231-0838



FIELDS MARKED WITH * ARE REQUIRED!
Rep Name:*
Date:
Customer:
Phone:*
Address:*
Fax:
City, State, Zip:*
Email:*
Number of units to be quoted: Potential number of units: Delivery expected:

1. Vessel:__ Open __Close
2. Liquid Name:
3. Liquid Surface Condition:

Still ___Turbulent _____Foam:_ Yes __No
Thick & Light
___Thick & Compact
Light & Thin Foam Layer
4. Temperature Range (F):
5. Pressure Range:
6. Medium between sensor and liquid:
Air ________Gas specify
Dusty ____Vapor ____Nitrogen Blanket
7. Agitation:____None ____Light ___Heavy
8. Environment: Non Explosive __Explosive
Class _____Group _____Div
9. Measuring Range (From face of Transducer)
Max (Ft/In/Meter;MM)
Min (Ft/In/Meter;MM)______Dead Zone
10. Transducer Materials:
CPVC ___Teflon ___Kynar ___316SS
11. Transducer Mounting:
3/4" NPT ___2" NPT ___Sanitary ___Flange Mounted
Size ______Mat ______Pressure
12. Electronic Unit: Integral
Remote Mounted Specify Cable Length
13. Input Power:_____ 115VAC __230VAC
24VDC __5VDC __12VDC __Two Wire Loop Power
14. Output: Display Yes_____No
4-20MA, 4 Wire
4-20MA, 4 Alarm Relay
*4-20MA Loop Power

0-10Volt, 4 Alarm Relay
4-20MA, 3 Alarm & Lost Echo Relays
0-10 Volt, 3 Alarm & Lost Echo Relays
4-20MA 2 Alarm Relay
0-10Volt, 2 Alarm Relay _____2 Alarm Relay
1 Alarm + 1 Control Relay (Auto Fill/Empty)
15. Enclosure:
NEMA-4X ____NEMA-4 ____NEMA-7
16. Approval:
None ____FM ____CSA
17. Remarks:
Please show the preferred mountain location, whether through a nozzle or threaded wall, any internal obstructions, such as agitators, heating coils, etc. Show product feed and discharge points.
Important:

Be sure to indicate transducer location
Height __Diameter
Distance from
Sensor Face
in Ft. (meters)
Beam Diameter in Inches
0.75" Sensor
(19.0 mm)
2" Sensor
(51mm)
2' (0.6 m)
2.0" (51 mm)
5.0" (127 mm)
4' (1.2 m)
4.15" (105 mm)
10.0" (254 mm)
6' (1.8 m)
6.25" (159 mm)
15.0" (381 mm)
8' (2.4 m)
8.35" (212 mm)
20.0" (508 mm)
10' (3.0 m)
10.45"(265 mm)
25.2" (640 mm)
12' (3.7 m)
12.52"(318 mm)
30.0" (762 mm)
16' (4.9 m)
-
39.6" (1.0 m)
20' (6.1 m)
-
50.2" (1.3 m)
24' (7.3 m)
-
60.25" (1.5 m)
30' (9.1 m)
-
75.30" (1.9 m)

Recomended Intrinsically, Safe Barrier
STAHL: P/N 9002/13-280-110-00
or any equivalent IS Barrier