BULLETIN 116A :   Point Level Bin Monitors Application Questionnaire

Name:

Company:

Job Title:

Address:

Telephone:

Fax:

E-mail:

Industry of End User:

Material: (Trade and/or Scientific Name)

Physical Properties:

Process Temperature:

Moisture:

Bulk Density:

Min:

° C
° F

Min:

Particle Size:

Max:

° C
° F

Max:

%

Dielectric Constant:

Normal:

° C
° F

Normal:

%

Conductivity:

Viscosity:

Slurry:

% of Solids

Material Characteristics: Abrasive Corrosive Coats Wall/Probe

Vessel:

Pressure:

Single Wall Jacketed

Min:

psi

Material of Construction:

Max:

psi

Normal:

psi

Environment: Indoors Outdoors

Hazardous Location Approvals Required:

Application:

High Level Low Level Intermediate Level

Top Mount Side Mount Cone Mount
Other:

Please Describe What the Output Will Control:

Additional Comments: