Level Control Design Form

Describe your level application:

Describe your vessel (size, dimensions, material, cover, insulation):

What is your media?

Do you have an MSDS sheet on your media?

Yes No

Is the media conductive?

Yes No

What is the media temperature?

What are the ambiant temperatures (coldest and hottest)?

Is the area :

Hazardous
Wet
Dusty

Do you want contact or non-contact measurement?

Contact
Non-Contact

Is this Continuous or Point Level measurement?

Continuous
Point Level

Is there any:

Foam
Vibration
Waves
Turbulence
Dipping

Voltages available?

Is communications or data collection required?

Yes
No

How many vessels need Level Control?

Is Indication or a visual of the Level Required?

Yes No

Please provide the following contact information:

First name
Last name
Title
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
FAX
E-mail
URL