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 ( _____ ) ______________________________________ XM/XT-700 Types Custom Length Float Type Level Transmitters Application Environmental Conditions This information is essential to the accurate and proper operation of your GEMS configurable sensors. Please complete fully and accurately. 1. Liquid Media: __________________________________________ 5. Viscosity: __________________ SSU 2. Pressure: Minimum ___________ psig Maximum ____________ 6. Tank Material: _________________________________________ 3. Temperature: Minimum ________ °F Maximum ____________ Tank Depth: ___________________________________________ 4. Specific Gravity: Minimum _________ Maximum ____________ 1. Series Type: 7. Unit is Mounted In: Tank Top Tank Bottom 5. Dimensions: XM/XT-700 C: Minimum distance from bottom of mounting to upper float stop. 2. Mounting Type and Materials: A. Mounting Type (select one): Type 1 Type 2 Type 5 Type 6 Options 1/2˝ MNPT Conduit Adapter (Types 2, 3, 4, 5 or 7 only) Mounting Proportional C Type 3 Type 7 Type 4 INDICATING LENGTH LENGTH OVERALL B. Mount and Stem Material (select one): Brass 316 Stainless Steel 3. Float Part Number: 4. Electrical Connections (select one type plus length value): Lead Wire: Length 12˝ 24˝ Other _______________ Cable: Length 12˝ 24˝ Other _______________ Other ________________________ Note: For Proportional values of " 0 " no upper grip ring is installed. Float stops at bottom of mount. 1 2 2c 3 3c 4 4c 5 5c 6 7 7c 0 0 0 0 0 0 0 0 0 0 0 0 Volt Current 0.69 0.44 0 0.25 0 0.75 0.25 0.38 0 0.5 0.25 0 1.44 1.19 0.25 1 0.19 1.5 1 1.13 0.19 1.25 1 0.25 Custom Length Float Type Level Transmitters Product Check List Provide values for both items and check the box next to the most critical value. Indicating Length _________________ Inches Millimeters Length Overall _________________ Inches Millimeters 6. Output: XM-700 Proportional Voltage Planned Input Voltage _________ XT-700 2-Wire, Loop Powered 4-20mA Output (Insert Mounted) 0-5 VDC 0-10 VDC Please contact GEMS Sensors Inc. for any configuration or special requirements not covered on this form. 800-378-1600 Additional minimum charges may apply on special orders. For use by Gems Sensors & Controls Quote: $ _______________ XM/XT-700 Series / p3of3 / 12-NOV-18 Date Quoted:____/____/____ Visit www.GemsSensors.com for most current information. C-8http://www.gemssensors.com http://www.GemsSensors.com