Measuring function / Request form Please complete the following form to allow us to find the ideal solution for your requirements. If you would rather fax the form to us, then download the master as a word document. Contact person Company name: (*)     Contact person: (*)     Position:       Department:               Street: (*)     Post code, town: (*)     Country: (*)             Phone no.:       Fax. no.:       E-mail: (*)       Fields with a (*) have to be filled out Application         Number of measuring points:     Medium:     State of medium: gaseous liquid     Polluted medium: yes     Gases: liable to condensation? yes     Measurement: stationary mobil     Working pressure:     Medium temperature:     Ambient temperature:     Do vibrations occur? yes     Is pulsation to be expected? yes     Measurable variable: actual velocity actual volume flow standard velocity standard volume flow     Necessary measuring range? minimum  maximum measured value     Preferred principle of measurement? vane wheel flow sensor FA vortex flow sensor VA thermal flow sensor TA     Preferred sensor materials?     Unacceptable sensor materials?     Ex-protection necessary? yes     If yes, which protective system?       Qualification test for exhaust gas emission measurement according to TA Luft 13th and 17th BImSchV neccesary? yes     Preferred sensor design? measuring tube   insertion probe       required insertion depth     extendable sensor?   yes     Is a probe guide piece for supporting the sensor in a pipeline or duct necessary? yes     If yes, screw thread or flange connection?     (Specification: e.g. G1½, DN50 PN16; ANSI...)     If measuring is to take place in a pipeline or duct: diameter of pipeline? dimensions of the duct?       Positioning place of the sensor? in the open in covered area in closed room     Necessary accessories, e.g.: probe tubes/extension rods, probe guide pieces, direction indicator...     Type of evaluation unit required hand-held instrument for mobile measuring transducer with analog output, without display, without keypad systems instrument with display and keypad analog output     Location of the evaluation unit? in the open in covered area in closed room     Distance between evaluation unit and sensor? m     Type of housing for evaluation unit? housing for top hat rail mounting in service cabinet aluminium housing IP65 19” slide-in housing cassette housing with 19” empty slide-in housing wall housing IP65 table housing     Required output for the evaluation unit: current output voltage output V24/RS232     Required power supply for the evaluation unit? 230 VAC 110 VAC 24 VAC 24 VDC 12 VDC 5 VDC accumulator battery         Further description of the measuring function and additional comments: