Float type level transmitters - Xm/Xt-860 series Product Check List This is a Request for a Quote Order P.O.#_______ Name ___________________________________________ Company _________________________________________ Quantity Needed _____________ Photocopy This Form Street ___________________________________________ Date Required ____/____/_____ Use one form for each product type you are selecting. City________________________ State_____ Zip__________ Shipping Method:_____________ Phone ( _____ ) ___________________________________ Partials Accepted: Yes No This form may also be completed online at gemssensors.com for RFQ. Fax ( _____ ) ______________________________________ Float Type Level Transmitters - XM/XT-860 Series Application Environmental Conditions This information is essential to the accurate and proper operation of your GEMS configurable sensors. Please complete fully and accurately. 5. Viscosity: _________________ SSU 1. Liquid Media: _________________________________________ 6. Tank Material: ________________________________________ 2. Pressure: Minimum __________ psig Maximum ________ psig Tank Depth: __________________________________________ 3. Temperature: Minimum ________ °F Maximum __________°F 7. Unit is Mounted In: Tank Top Tank Bottom 4. Specific Gravity: Minimum ________ 8. Moisture Protection Required? Yes No Maximum ___________ 1. Series 2. Mounting Type XM/XT-860 (1/2˝ Resolution) - 3 wire output XM/XT-860 (1˝ Resolution) - 2 wire output Type 1 (1/2˝ NPT) Type 3 (2˝ NPT) 3. Materials 4. Float Type 197428 - Buna N (Use with any Mounting Type) 43359 - Buna N (Use only with Mounting Type 1 or 3) 43590 - Stainless Steel (Use only with Mounting Type 1 or 3) a. Stem: Brass 316 Stainless Steel b. Mounting: Brass Type 2 (1-1/4˝ NPT) Type 4 (SAE Flange) 316 Stainless Steel* *Type 1, 2, & 3 only 5. Dimensions 6. Input/Output Overall Length (complete one line only): a. Optional 24 VDC Power Supply: Float Selected Indicating Length1 (Whole Inches) + C Dimension ±1/16˝ (1.6mm) + Float Factor X Inch (mm) = 197428 + + 2.5 (63.5) = 43359 + + 2.5 (63.5) = 43590 + + 3.44 (87.3) = Overall Length 24˝ (610 mm) Max. Notes: 1. Indicating Length: 1˝ increments 2. Minimum C Dimension = 1/4˝ 115 VAC input 230 VAC input b. Signal Conditioners Output Shown in Parenthesis: 51965 (0-5 VDC - stem) 51970 (0-12 VDC - stem) 52536 (0-5 VDC - J-box) 52537 (0-12 VDC - J-box) 52555 (4-20 mA - J-box) 112300 (4-20 mA - panel mount) Please contact Gems for any configuration or special requirements not covered on this form. 800-378-1600 Quote: $ _______________ C-15 Date Quoted:____/____/____ Visit www.GemsSensors.com for most current information. XM/XT-860 Series / p4of4 / 3-APR-14http://www.gemssensors.com http://www.GemsSensors.com