AQUADAX SOUTH ASIA PVT LTD

Plot No.16, First Floor, Gautam Nagar, Bhubaneswar - 751014, Odisha

Email: sales@aquadaxasia.com, Phone: +91 98718 66777 Web: www.aquadaxasia.com

QUESTIONNAIRE FORM
Client Details
Client Name

Address

Contact Person Mobile No.:

Tel./ Fax Nos.

Email ID
Webmail
Consultant if any Name
Address

Tel./ Fax Nos.

Email ID
Webmail
Dear Sir,
Kindly feel up the following columns with help of option given below so that we can give you the
appropriate offer.
General Details of gas system required
Gas To be detected Chemical Formula of gas:
Interfearing gases if any
Measurement Range
Measurement Accuracy Temp. of Gas Flow- Max.: Min.:
in %
Portable / Online /
Sniffer (natural
diffusion)
Remote Sensors / Close
Sensors
SELECT FROM OPTIONS SENSOR & MONITOR
BELOW TRANSMITTER
No. of Channels
Input 4-20 mA, Any other specify
Output 4-20 mA, Any other specify
Operating Power Supply 230V AC ±10% 50Hz / 24V DC
Display Type /LCD
6V (Portable)
/ LED / N.A.
Resolution 1, 0.1, 0.01, 0.001,
Displaying Method Individual channel, Common
Scanning type
No. of Alarms
Set Point Alarm 1
Set Point Alarm 2
Alarm 1 Relay Yes / No
Relay Contact Rating
Alarm 2 Relay Yes / No
Relay Contact Rating
Fault Relay Yes / No
Relay Contact Rating
Individual Channel
Relays / Common
Optional O/P Relays a) 4-20mA (non-isolated) 500W
load resistance for recorder
PLC, DCS
b) RS-485 serial
Communication port
c) Centronics Parallel Port
Housing & Environmental Requirements
Location In Door / Out door/ Shaded
Mounting Wall / Panel / Rack / Portable
Temperature of Minimum / Normal / Maximum
Operation
Is high Pressure / Flow Yes / No, How much?
involved?
Is sampling system Pressure Regulator, Flow
required to be provided meter, Volves, Vaccum Pump
etc.
Adverse Environmental Dust / Humiidity / Vibration/
Condtion EMI/ RFI/ Corrosion / Any
Enclosure Type other
General Purpose /
Weatherproof / Flameproof
In case of Weatherproof Degree of Protection IP55 /
IP65 / IP66 /
In case of Flameproof IIA/ IIB/ IIC / Gas Group
Optional Accessories a) Cables
b) Gas Calibration kit
c) Mounting Stands
d) Flameproof Junction Box
EXTRA
e) 24VDC powersupply
f) Non Flamproof Industrial
Hooter / Flameproof Hooter
g) Chart Recorder
h) SMARTLOG windows
based data acquisition
software
Any Additional Information you wish to give which shall affect performance of the device.

Remarks / Comments
Enquiry Collected by Reviewed By ONE Reviewed By TWO
Date