Please
fill in as many fields as possible - manufacturer standard options will
apply unless directed otherwise. To submit the form for the quickest quotation
the fields marked with ( * ) should be completed. N/A, vendor select
or unknown are acceptable inputs. If you have any questions, please
contact KECO at 732-901-5900 or keco@optonline.net. |
Type
of unit required |
|
Manufacturer
(list any preference) |
|
Model
number (if known) |
|
Quantity |
*
|
Tag
number - if required, list type and info |
|
Fluid
/ Media |
*
|
Temperature
range-value and units |
*
|
Type
of element |
|
Element
construction |
|
Sheath
diameter |
|
Sheath
material |
|
Length
of element |
|
Thermowell |
|
Element
connection style to thermowell or process |
|
Process
connection size |
|
Cold
end termination, electrical connection/wiring to system |
|
Lead
wire - insulation & type, list gauge if known |
|
Lead
wire protection - if applicable |
|
Extension
assemblies, choose style & material, list length if non-standard |
|
Temperature
transmitter - if needed, list output |
|
Comments
/ Other available information / special requirements or considerations
