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APPLICATION DATA SHEET
In order for GMS Technologies to recommend suitable instruments for your application, please complete and return this form. Fields with asterisks (
*
) are required.
General Information
Name *
Name is required.
Title *
Title is required.
Company *
Company name is required.
Address*
Address is required.
City*
City is required.
State
Pincode
Telephone*
Telephone no is required.
Mobile no
Fax
E-mail*
E-mail is required.
Invalid format.
General Information
Application:
1.
Gases to be monitored
and desired ranges (PPM, %LEL, or % by volume)
2.
Interfering gases
and possible concentration ranges (PPM, %LEL, or % by volume), if any:
3.
Operating Temperature range
: (optional)
at instrument.
at sensor;
4.
Humidity range
: (optional)
at instrument.
at sensor;
5. Is there an existing gas monitor in use?
NO
YES
If yes, please indicate manufacturer, model, and any current problems:
6.
Type of instrument
required:
Portable
Rackmount
Wallmount
Explosion-proof
Weatherproof
7.
Number of sensor points
required:
8.
Maximum distance
from sensor to control room:
9.
Line Power
:
Volts
Hertz
10.
DC Standby Power
: (optional)
11.
Additional information
and requirements:
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