TEMPERATURE TRANSMITTERS

No.

By

Date

Sheet

REV.

CONTRACT

DATE

REQ

P.O.

Revision

BY
1 Tag Number
2 Service
GENERAL

3 Line Number / Vessel Number

4 P & I Diagram
5 Area Classification
6 Manufacturer
7 Model Number
8 Sensor Type
9 Element Type

SENSOR

10 Mounting
11 Sensor Connection
12 Sheath Material
13 Sheath Diameter
14 Sensor Length (S)
15 Filled System Class
16
17 Manufacturer
18 Model Number
19 Input Type
20 Output
21 Calibrated Range
22 Accuracy

TRANSMITTER

23 Loss of Input Indication

24 Enclosure Rating
25 Mounting
26 Power Requirements
27 Input / Output Isolation
28 Options
29
30 Manufacturer
31 Model Number
32 Material of Construction
33 Stem Style

THERMOWELL

34 Process Connection
35 Sensor Connection
36 Bore
37 Insertion Length (U)
38 Lagging Length (T)
39
40 Capillary Length

OPTIONS

41 Capillary Material
42 Extension Length (N)
43 Extension Type & Material
44 Fluid

SERVICE

45 Operating Temp.

Max. Temp.

46 Operating Press.

Max. Press.

47
48
Notes:

of

SPEC NO.

CHK

APPR.