Air Flow Application Form

Date: Customer/Project Information Company Name: Contact Name: Address: City: State: Zip Code: Project Name: Title: Phone No: Extension: Fax No: Email Address: Physical Specification Duct Configuration Circular Dia. (ID) Duct Wall Rectangular Duct Properties Material of Construction Duct Insulation Width (ID) Carbon Steel None Height (ID) Stainless Steel 0+" to 2" Duct Wall Aluminum 2+" to 6"

Duct measurement Units: inches

ft

cm m Process Parameters

Flow Rate:

Temperature:
Minimum Nominal Maximum

Flow Units:
Medium: SA PA Gas

lb/hr kg/sec

SCFM Nm/hr

ACFM Nm/hr

Temperature Units:
Duct Pressure:

Minimum

Nominal

Maximum

Standard Application - Clean Air Particulate Application - Particulate-laden Air

Minimum

Nominal

Maximum

Pressure Units:

inH2O Pa

PSI mBar

Atm Bar

Additional Specifications Measurement Instrumentation Requirements DP Only Multivariable (DP, Temp, Pressure) None (existing or customer supplied) Flow Element Mounting/Installation Requirements Insertion Probe (Port welded to outside of duct ) Spool Section (Flanged duct section)

Measurement Instrumentation (if required as per above) Eastern Instruments (DPG, DPU, DPS) Other

Installation/Location Conditions Closest Upstream Obstruction Distance to Upstream Obstruction Closest Downstream Obstruction Distance to Downstream Obstruction

How did you hear about us?

Email/Newsletter Website Advertisement Tradeshow Other (Please fill in)

Additional Notes:

E A S T E R N

I N S T R U M E N T S 4 1 6
F a x :

L A N D M A R K

D R .

W I L M I N G T O N ,

N C

2 8 4 1 2

9 1 0 - 3 9 2 - 2 4 9 0

9 1 0 - 3 9 2 - 2 1 2 3

w e b s i t e :

w w w . e a s t e r n i n s t r u m e n t s . c o m

141973434.xls.ms_office

AF.101

Rev. 149-7