Custom Length Float Type Level Switches Product Check List This is a Request for a Quote Order P.O.#_______ Quantity Needed _____________ Photocopy This Form Use one form for each product type you are selecting. Date Required ____/____/_____ Shipping Method:_____________ Partials Accepted: Yes No This form may also be completed online at gemssensors.com for RFQ. Name ___________________________________________ Company _________________________________________ Street ___________________________________________ City________________________ State_____ Zip__________ Phone ( _____ ) ___________________________________ Fax ( _____ ) ______________________________________ LS-700 Types Custom Length Float Type Level Switches 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: 5. Switch Actuation Level A. LS-700 TH-700 (Thermostat Equipped) TM-700 (Thermistor Equipped) Actuation Level 2. Mounting Type and Materials: A. Mounting Type: Type 1 Type 5 Type 2 Type 6 7. Unit is Mounted In: Tank Top Tank Bottom Distance to Actuation Level - Inches* SPST Switch Operation** (Check Type) N.O. Type 3 Type 7 Type 4 N.C. L5 L4 L3 L2 B. Mount and Stem Material: Brass 316 Stainless Steel L1*** 3. Float Part Number: Matching floats will be used at each actuation level specified. * Measured from inner surface of mounting plug or flange. ** Switch position is " normal " with unit dry (tank empty). *** L1 is the distance to the lowest actuation level with mounting " up, " and is the distance to the highest actuation level with mounting " down. " B. Length Overall (Lo) _____________ inches. 4. Switch Type and Rating: Group II A. Group I B. SPST C. 20 VA 100 VA 6. Lead Wire Length: 12˝ 24˝ Other:_____________ inches. Please indicate if using microprocessor/PLC load: Yes No 7. Options: Temperature Switch Settings (°F): 100 25 150 175 200 On rising temperature, switch... Opens Closes Slosh Shield Collars 1/2˝ NPT Conduit Connection (available for Types 2, 3 & 7) J-box Electrical Connection Explosion Proof Type (FM/CSA) NEMA 4 Type Please contact GEMS Sensors Inc. for any configuration or special requirements not covered on this form. 800-378-1600 Quote: $ _______________ Date Quoted:____/____/____ Additional minimum charges may apply on special orders. B-17 Visit www.GemsSensors.com for most current information. LS-700 Series / p4of4 / 06-MAR-17http://ecatalog.gemssensors.com/ecatalog/configurators/LS700 http://www.GemsSensors.com