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Engineering Request Form
Please take a moment to fill out our brief survey so we can better serve you,
General Information:
Company Name *
Customer Name *
Email
Phone
Fax
Sales Rep
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2021
2022
2023
Engineering Request Due Date
JMS Part #
Inquiry Classification
(check all that apply)
:
General Technical Assistance
Drawing Assistance / Review
Material Specification
Bid Technical Review
Other (please expain)
Process Physical Characteristics:
Tnom (in Degrees Farenheit)
Tmax (in Degrees Farenheit)
Vibration (in g/Hz)
Pressure (in psi)
Vflow (in ft/sec)
Chemical Environment:
Oxidizing
Reducing
Inert
Vacuum
Process Chemistry (
5-31, 33, 34
)
Electrical Classification (
NEMA/IP Ratings
,
Isolated Intrinsically Safe Temperature Measurement Circuits
, &
Hazardous Locations
)
* Required field
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Thermocouple
,
Thermowell
and
RTD
products from JMS