Application Data Form/Point Level Switch

Back

Before a quotation can be issued, we must have this form completed.  
Company  Name 
Contact Name 
Street or PO  Box  Zip Code 
City  Phone 
State/Province  Fax 
Date 
eMail

PROCESS SPECIFICATIONS
Product Liquid    Solid
Product density g/I
Operating Pressure PSI
Normal product temperature degrees C/F
Ambient temperature degrees C/F
High alarm or low alarm

POINT LEVEL INTERFACE
Density Product 1   Gas density
Density Product2  Foam density

PHYSICAL ARRANGEMENT
Vertical vessel or horizontal vessel
Vessel inside diameter mm/inches
Wall thickness-steel mm/inches
Wall liner mm/inches Material
Wall heat/ cool jacket mm/inches Material
Insulation thickness mm/inches Material
Other wall thickness mm/inches Material
Agitator? Yes / No If yes, diameter of shaft:
Hazardous Area Classification     
Eccentric path-distance from center of vessel in mm/inch
Response time of level switch seconds
Explosion proof environment? Yes / No
Other radiation gauges near this level switch Yes / No (If yes, provide a sketch to berthold-us@bertholdtech.com)
Other important vessel information:
Required delivery time
RETROFIT If this is a retrofit where an existing source will be used, we will need to know:
Size of existing source (mCi)
Isotope of existing source (Cs 137, Co60, etc)
Original Date of Source
Source Supplier

If you have questions or comments about this website or about Berthold products, please email us at Berthold-US@bertholdtech.com.

© 2008 Berthold Technologies USA, LLC  All Rights Reserved