INQUIRY FORM Spare parts Contact partner If you wish to request a quote for spare parts, please only fill out the section highlighted in gray. It is not possible to provide a quote without a serial number. Serial number:_________________________ Order number (optional): 2. Date when required/delivery date 3. Field of application of device/application (e.g.: Paint shop, copper mine, ...) 4. Field of application (m up to AMSL) I | Incremental signal 0°, 90°, N, error I I Incremental signal 0°, 90°, N, error I | Sin/Cos signal A, B, N as 1 Vpp signal I I Sin/Cos signal A, B, N as 1 Vpp signal Johannes Hubner • Fabrik elektrischer Maschinen GmbH • Siemensstrasse 7 • 35394 Giessen

INQUIRY FORM UUBIMER for incremental encoders Ex FG 40 ideas and solutions 10. Required equipment group ] Equipment group I (mines susceptible to firedamp) ^] Equipment group II (all other hazardous areas) 12. Required protection level 13. Required explosion group (the level of risk increases from Index A to Index C) OlIC (hydrogen, acetylene) □ III C (metal dust, coal dust) 14. Required temperature class (Ignition temperature of combustible materials; the level of risk increases from T1 to T6) 15. Ambient temperature range 16. Environmental effects (e.g.: salt, alkalis,...) Johannes Hubner •...