This is a Request for a Quote Order P.O._________ Quantity Needed _____________ Photocopy This Form Date Required ____/____/_____ Shipping Method:_____________ Use one form for each product type you are selecting. 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-800 Types Custom Length Float Type Level Switches Application Environmental Conditions This information is essential to the accurate and proper operation of your GEMS configurable sensor. Please complete fully and accurately before ordering. 1. Liquid Media: __________________________________________ 5. Viscosity: __________________ SSU 2. Pressure: Minimum ____________ 6. Tank Material: __________________________________________ 3. Temperature: Minimum _________ psig Maximum ___________ bar ° F ° Maximum ___________ C 4. Specific Gravity: Minimum _______ Maximum ___________ 1. Series (Page No.): LS-800PVC (B-18) LS-800-Adjustable (B-23) TM-800 (B-25. Thermistor Equipped) LSP-800 (B-20) LS-800 (B-22) Tank Depth: ____________________________________________ 7. Unit is Mounted In: 7. Switch Actuation Level A. Actuation Level TH-800 (B-25. Thermostat Equipped) See product page number for available mounting type and materials. Type A Type 1 Type 4 Type B Type 2 Type 5 Brass PVC 316 Stainless Steel Tank Top Polypropylene PVDF Carbon Steel (Flanges Only, in association with stainless steel stems.) 6. Switch Type and Rating: Group II A. Group I C. L3 L2 L13 Notes: 1. Measured from inner surface of mounting plug or flange. 2. Switch position is " normal " with unit dry (tank empty). 3. L1 is the distance to the lowest actuation level with mounting " up, " and is the distance to the highest actuation level with mounting " down. " 4. Float stops are standard; see B-24 for specifications. B. Length Overall (L0) ______________ inches (customer supplied 8. Lead Wire Length: Tank Bottom Matching floats will be used at each actuation level specified. N.C. support bracket assembly recommended for lengths over 72˝.) 5. Float Part Number: __________________ B. N.O. L5 Type C Type 3 Type 8 4. Mounting Position: SPST Switch Operation2 (Check Type) L4 3. Mounting and Stem Material (if choice available): Distance to Actuation Level (Inches)1 Bottom Mounted L6 2. Mounting Type: Top Mounted Custom Length Float Type Level Switches Product Check List Group III* Group IV* SPST SPDT* 20 VA 100 VA (SPST only) Please indicate if using microprocessor/PLC load: Yes No * Not Available on the TM-800 Series. 12˝ 24˝ Other:_____________________ inches. Options: Temperature Switch Settings (°F): 100 25 150 175 200 On rising temperature, switch... Opens Closes Slosh Shield 316 SS (316 SS units only) Brass (Brass units only) J-Box Electrical Connection: Explosion Proof Type (FM/CSA)* NEMA 4 Type Plastic ABS Type * Requires stainless steel floats 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. LS-800 Series / p5of5 / 08-JUN-20 Visit www.GemsSensors.com for most current information. B-26http://www.gemssensors.com http://ecatalog.gemssensors.com/ecatalog/configurators/LSP800 http://ecatalog.gemssensors.com/ecatalog/configurators/LS800PVC http://ecatalog.gemssensors.com/ecatalog/configurators/LS800 http://ecatalog.gemssensors.com/ecatalog/configurators/LS800 http://www.GemsSensors.com