Professional Documents
Culture Documents
No.
By
Date
Sheet
REV.
CONTRACT
DATE
REQ
P.O.
Revision
BY
1 Tag Number
2 Service
3 Type
GENERAL
4 P & I Diagram
5 Area Classification
6
7
8
9 Input
10 Quantity: Single / Dual
11 Form: SPST / SPDT / DPDT
12 Rating:
Amps
Volts
15 Deadband
16 Accuracy
17 Repeatability
18 Enclosure
19 Mounting
20 Power Requirements
21
22
CONTACT
SERVICE
27
28
29
30
31
32
OPTIONS
33
34
35
36
37
47 Manufacturer
48 Model Number
Notes:
Hz
of
SPEC NO.
CHK
APPR.