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Hydrocarbons (VOC's) In Water Analyzer - Model 204-V
- or -
Oil in Water Analyzer - Model 204-O


Please fill out as much information as possible to expedite your quote request.
One form for each analyzer unless specifications are identical or differences identified.
This form is not required if complete specification data sheets are provided. Please send data sheets to sales@asiwebpage.com. If you have questions or need help call us at +001-281-516-3950 and ask for analyzer sales.

Anything marked in red is required.

Section 1
Name:
Company:
Title:
I Am:
End User
Sales Rep
Engineering Firm
Systems Integrator
Other

Address
 
City
State:     Other
Zip or Postal Code:
Country
 
Primary Phone:
Alternate Phone:
Fax:
Email:
Web Site:
Best to Contact By: Phone      Fax      Mail      Email
How Did You Find Our Website?
Other:
(please specify individual and contact information)
Date Quote Required:
Estimated Date Analyzer Required:


Section 2: End User of Analyzer
End User Company:
End User Contact:
End User Email:
End User Phone:
Analyzer End User Country:
Analyzer End User City:


Section 3
Which type of quote do you require?


Analyzer Identification:
Tag #:
Project:
Plant Name:
Analyzer Quantity Required:
(One form per analyzer unless identical specifications or differences are identified)
 
Requesting Quote For: Hydrocarbons (VOC's) In Water (Model 204-V)
Oil In Water (Model 204-O)
 
What is the process application description:
 
Identify all analyzer applications (include all that apply):
Water Plant Intake Protection
Industrial Wastewater Discharge
Plant Process Water
Heat Exchange Leak Detection
Storm Water Discharge
Produced Water for Discharge
 Produced Water for Reinjection
Bilge Water Discharge
Slop Tank Discharge
Drains Discharge
Other:

Identify purpose(s) for analyzing (include all that apply):
Leak Detection
Discharge Compliance
Process Control
Process Protection
Treatment Verification
Other:

Identify the primary source of water to be analyzed
Oil and/or Gas Produced Water
Runoff Water
Cooling Water
Waste Water
Bilge and or Ballast Water
Slop Tanks
River
Lake
Sea Water
Steam Condensate
Purified Water
Other:

Specify the target compound type to be measured (oil, VOC's, other compound(s))
Benzene
Gasoline
Toluene
Ethyl Benzene
Lubricating Oil
Hydraulic Oil
Crude Oil
Xylene
BTEX
Phenol
Aniline
Gas Condensate
Transformer Oil
Heat Transfer Fluid
Diesel / Marine Diesel
Jet Fuel
Fuel Oil #
Other by chemical name(s):
Specify product name(s):

For Crude Oil, Specify:
Viscosity (cP or cSt):
Oil Density:
Oil Color:

Physical state of oil or hydrocarbons in the water:
Fully Dissolved
Dispersed Droplets
Emulsified
Free, Un-Dissolved, Floating
Other:

Sample clarity or color description:
Clear
Cloudy
Medium Dark
Dark
Other:

Sample Flow Description:
Other Samples Characteristics:
Pressure of sample: PSIG      Other
Temperature of sample:

C

F

Contamination present in sample? Yes     No
If contamination, identify degree:
Describe contamination, if any:
Calibration Measurement Range:    to   
 

What Are The Critical Point or Points Within Above Calibration Range, if any:

Area Classification
Div 1 or Zone 1
Div 2 or Zone 2
General Purpose - Non Hazardous Area 		Group B
Group C, D
Other:
IP Rating:
Analyzer performance necessity: Qualitative   Quantitative   Other:
Analyzer power required: 110VAC   60Hz   220VAC   50Hz  
Utilities Available: Instrument Air   Water   Steam   Nitrogen
Options required:
Isolated 4-20mA
High Alarm
Low Alarm
Diagnostic Alarm For Analyzer
Diagnostic Alarm For Sampling System
 Automatic Validation
Manual Validation
Chart Recorder Exp. Proof
       (User Mounting)
Chart Recorder Non Exp. Proof
       (User Mounting)
RS 232/485 with out modem
RS 232/485 with modem
Where Will The Analyzer Be Installed (include all that apply):
Outside on a pole
In a Shelter 		Cooled Shelter
Heated Shelter 		Laboratory
Other:  
 
What Is The Maximum & Minimum Ambient Temperature Of Area Analyzer Will Be Installed In:
   to       C F
 
What Will The Alarms Connect To?
 
Sample Line Distance:
Feet   Meters
 
4-20 Distance:
Feet   Meters
 
Other Comments: