Valve Control Application Information *indicates required information
Company Name:		Contact Name:*
Address 1:		Phone #:
Address 2:		Fax #:
Email:*
General Application Statement:

Product Information

Flow to be Controlled:

Line Size:

Type of Connection

Pressure Class: Automated Valve: Spring Return?: Positioner Required: I/P Solenoid Valve

Pressure of flow: Across Valve Temperature of Process: On/Off Control: Modulating:

Drawings of Piping attached? Available?: Air Supply available?: Filtration for air required?:

Is valve severe service?: Abrasion : Corrosion: High Pressure: High Temperature: Metal Seated:

Component Delivery:

Automation items provided loose: Assembled: Mounted:

Postioner Feedback Required? Type: Limit Switches? Visual Indicator?:

Power Available:

VDC:

Two Wire:

VAC:

Hz:

System Output Signal:

VDC:

mADC:

Digital:

, BDC.

Relay

Characteristics

Housings:
Valve Electronic Control Components:
Std: Nema 4: Nema 4x:

CL1 DIV 1: CL1 DIV 2: CL 2 Div 1: Cl 2 Div 2:

Instrinsically Safe:

Ambient Temperature: Celcius Fahrenheight

Special Quoting Conditions:

Miscellaneous Details: