Sample Probe Ordering Form - Conax Technologies - #1

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Temperature at PG Gland: NPT: Socket Weld Dia.: Length: Threaded Flange Size: Rating: Welded Flange Size: Rating: Wetted (PG Body) Materials Requirement 303 SST MONEL 400 316/316LSST HASTELLOY C22 316 NACE HASTELLOY C276 Other, please specify: Special Gland Body Design: Counterbore/Bonda Relief Integral O-Ring Dual Sealant Yes No Special Company: Completed By: Email Address: Phone: Quantity: 10) Conax PG Sealing Gland (see page 2): 45° 90° Other: 2) Angle “A”: 3) Stop Collar: “L” Overall Sample Probe Length: “B” Stop Collar Set-Back : (.25” is STD.) “Y” Flange/Nozzle/Valve Length: “Z” Immersion Into Process Flow: 1) Overall Dimensions: Contact Information: Fax: 1.716.684.7433 • Tel: 1.716.684.4500 • USA Toll Free: 1.800.223.2389 • Email: SPA@conaxtechnologies.com • Website: www.conaxtechnologies.com Conax Sample Probe Assembly Quote Request Form • Please print, complete and return to Conax • Fax to 716.684.7433 to the attention of Tom Mech or scan and email to SPA@conaxtechnologies.com • Please download the complete Sample Probe Brochure for additional technical details http://media.conaxtechnologies.com/spa6066.pdf Plain End Plain End w/laser markings V-Notch Relative to Angle “A” Integral NPT Tube End Fitting NPT: Other, please specify: Material: Probe (tube) OD: Wall: Probe (pipe): Chain Kit: Yes No Coatings/Finish: Silcolloy™ 1000 (Silcosteel®-CR) SilcoNert™ 2000 (Siltek®/Sulfinert®) Electro - Polish Not Required 9) Probe End Options: Media: Velocity: Temperature: Pressure: Flow Rate: Density: Pipeline Size: Schedule: 4)Process Conditions: 8) Sample Probe/Options: Pipe Size: Schedule: Min. Through Diameter: Nozzle insert required No nozzle insert 5) Nozzle: 6 & 7) Valve Type & Size: Nozzle Valve Conax PG Gland Sample Probe Probe End Flange/ Nipple “Y” “L” “Z” “B” Stop Collar Angle “A” Optional Chain Kit Wake Frequency Calculations by Conax Yes No Bonda Relief/ Counterbore 6) Flange/Nipple by Conax Flange/Nipple by Others 7) Valve: By Conax By Others Size: Confirm through bore in valve: 10 1 9 8 7 6 5 4 3 2 11 11) 1 Process Flow 8