Print Form

Applications Work Sheet

Thermal Differential
Applications Work Switch
Sheet
Fax us at 913-888-0767 with the following information.
Thermal Differential Switch
Buyer/Engr. Name Phone
Fax us at 913-888-0767 with the following information.
Title Fax
Buyer/Engr. Name Phone
Company (End User) E-mail
Title Fax
Address
Company (End User) E-mail

Address
City State Zip Code

Application
City Level State Flow Zip Code

Vessel Shape
Application Level Vertical Cylinder Flow Horizontal Cyclinder

Pipe/Vessel
Vessel ShapeMaterial Vertical Cylinder Pipe Size and Schedule
Horizontal Cyclinder
Power Supply Process Connection
Process Media
Pipe/Vessel Material Ambient
Pipe SizeTemperature
and Schedule
Operating Pressure Range
Power Supply Maximum Pressure
Process Connection
Operating Temperature Range
Process Media Maximum Temperature
Ambient Temperature
Solids (%) Pressure Range
Operating Turbulence
Maximum Pressure Yes No
Specific
Operating Gravity
Temperature Range Process
MaximumCoating
TemperatureYes No
Viscosity
Solids (%)(cp) Vibration/Mixing
Turbulence Yes
Yes No
No
Specific Gravity Process Coating Yes No
Foam Yes
Viscosity (cp) No Flow RateVibration/Mixing
(FPS, GPM, etc.) Yes No
Set Point (FPS, GPM, etc.)
Foam Yes No Flow Rate (FPS, GPM, etc.)
Set(FPS,
Set Point By: GPM,Factory
etc.) On Location

Please attach a sketch or drawing indication mounting location, other connections and internal obstructions.
Set By: Factory On Location
14685 W. 105th Street, Lenexa, KS 66215 913-888-2630 800-676-6794 Fax 913-888-0767 www.sorinc.com
Please attach a sketch or drawing indication mounting location, other connections and internal obstructions.
Form 1250 (06.07) © SOR, Inc. Printed in USA
14685 W. 105th Street, Lenexa, KS 66215 913-888-2630 800-676-6794 Fax 913-888-0767 www.sorinc.com

Form 1250 (06.07) © SOR, Inc. Printed in USA

Form 1250 (08.14) ©SOR Inc.