Commercial Information

Quote Need by Date:

First Name:

Last Name: Existing Buying Agreements:

Company Name: Quote Type:

Mailing Address:

City: End Destination Country:

State/Province: Quantity of Meters:

Zip Code:

Phone Number:

Email Address:

Ultrasonic Flow Meter Information

Number of Paths: Pipe ID (Bore Matching):

Accuracy: ANSI Rating:

Flange Type: Flow Direction:

Nominal Pipe Size: Body /Flange Material:

Process Application Information

Fluid Name: Corrosive: Toxic:

Actual Process Conditions:

Flow Rate:Minimum: Operating: Maximum:

Temperature:Minimum: Operating: Maximum:

Pressure:Minimum: Operating: Maximum:

Density/Specific Gravity:Minimum: Operating: Maximum:

Viscosity:Minimum: Operating: Maximum:

Velocity:Minimum: Operating: Maximum:

Maximum Allowable Pressure Drop: Installation Pipe Material:

Meter Parameters

Ultrasonic Meter Output Needed: Electronics Enclosure Material:

Electronics Mounting: Transducer Housing Material:

Tagging Language: Tagging Format:

Meter Flow Rate Units: Flow Conditioners Required:

SS Tag Required: Meter Tubes Required:

Conduit Port: Datasheet Provided:

Dowel Hole Alignment: Hoist Rings Required:

Checklist for Firm Quote Request2-Path Liquid Ultrasonic Flow Meter

Customer Information:

New Customer:

Approvals, Testing and Other Requirements

Electrical Approval Required: Pressure Directive Cert:

Metrology Approval Required: Hydro Test (Including Chart Recording):

Meter Body Paint:

Flow Calibration Flow Rates:

Documentations and Testing Requirements

Notes

Warranty CertificateCertificate of Compliance

MTRCertificate of Origin Issued by ManufacturerMPI/LPI on Branch ConnectionsCertificate of Electrical ClassificationHazardous Area Certification (Agency Certification)DrawingsPMI

ITP

QA Plan3rd Party Inspection RequiredCalibration WitnessHydro WitnessPaint WitnessFinal WitnessOthers: Please Specify Below in the Notes