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Company Name

Phone

Website URL

Contact Name/ Requested By

Contact Email

Contact Phone

Shipping Address

City / Town

State/ Province

Zip / Postal Code

Devices of Interest

Operating Requirements

Control Signal

Output Signal

Inlet Pressure (PSIA):

Min:

Max:

Outlet Pressure (PSIA):

Min:

Max:

STP Density Reference Temp

Non-Corrosive Gas Type

Cal-A Gas Flow Control Range: (MFC)

Total Range (ccm)

(i.e. 500)

1% FS SP (ccm)

(i.e. 5.0)

100% SP (ccm)

(i.e. 500)

Cal-B Gas Flow Control Range: (MFC)

Total Range (ccm)

(i.e. 100)

1% FS SP (ccm)

(i.e. 401.0)

100% SP (ccm)

(i.e. 500)

Cal-A Gas Pressure Control Range: (EPC/EVC)

Total Range (psia)

(i.e. 50)

1% FS SP (psia)

(i.e. 50.5)

100% SP (psia)

(i.e. 100)

Cal-B Gas Pressure Control Range: (EPC/EVC)

Total Range (psia)

(i.e. 100)

1% FS SP (psia)

(i.e. 1.0)

100% SP (psia)

(i.e. 100)

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