Belt Scale Application Questionnaire

Customer Information:

Date:

Contact Name:

Company Name:

Company Address:

Address (cont.):

City:

State/Province:

Zip/Postal Code:

Country:

Work Phone:

FAX:

E-mail:

Prepared By:

Notes on the application:

Material:

Material being measured:

Particle Size: mminch mesh

Corrosive state of Material: High Moderate Not corrosive

Conveyor:

Application: Inventory Load Out Control Blending Legal for trade

Feed Rate minimum: t/hr kg/hr lb/hr LTPH STPH

Feed Rate maximum: t/hr kg/hr lb/hr LTPH STPH

Constant Feed Rate: Yes No

Access Side (looking in direction of belt travel): Left Right Both

Electrical classification at scale location:

Profile: Horizontal    Incline/Decline Degrees
  Variable Incline Degrees
Curved

Belt Speed Minimum: m/sec ft/min

Belt Speed Maximum: m/sec ft/min

Belt Length: m ft.

Belt Width: mm in

A mm in
Y mm in

Idler Diameter: mm in

Tail pulley diameter:. mm in

Trough Angle: Degrees

Idler Spacing: mm in

Integrator Requirements:

Power Available:

Inputs Required: (check all that apply): 4-20 mA
LVDT
Variable Speed
PID
Load Cells (#):

Outputs Required: (check all that apply): 4-20 mA
PID
Remote totalizer
Relays (#):

Communications: AB Remote I/O
DeviceNet
Profibus-DP
RS232/RS-485 Modbus

Preferred Belt Scale Model: MUS MCS MSI MMI MLC

Preferred Construction: Painted mild steel 304 SS 316 SS
Other

Customer Information:
Date:
Contact Name:
Company Name:
Company Address:
Address (cont.):
City:
State/Province:
Zip/Postal Code:
Country:
Work Phone:
FAX:
E-mail:
Prepared By:
Notes on the application:
Material:
Material being measured:
Particle Size:	mminch mesh
Corrosive state of Material:	High Moderate Not corrosive
Conveyor:
Application: Inventory Load Out Control Blending Legal for trade
Feed Rate minimum:	t/hr kg/hr lb/hr LTPH STPH
Feed Rate maximum:	t/hr kg/hr lb/hr LTPH STPH
Constant Feed Rate:	Yes No
Access Side	(looking in direction of belt travel): Left Right Both
Electrical classification at scale location:
Profile:	Horizontal Incline/Decline Degrees Variable Incline Degrees Curved
Belt Speed Minimum:	m/sec ft/min
Belt Speed Maximum:	m/sec ft/min
Belt Length:	m ft.
Belt Width:	mm in
	A mm in Y mm in
Idler Diameter:	mm in
Tail pulley diameter:.	mm in
Trough Angle:	Degrees
Idler Spacing:	mm in
Integrator Requirements:
Power Available:
Inputs Required: (check all that apply):	4-20 mA LVDT Variable Speed PID Load Cells (#):
Outputs Required: (check all that apply):	4-20 mA PID Remote totalizer Relays (#):
Communications:	AB Remote I/O DeviceNet Profibus-DP RS232/RS-485 Modbus
Preferred Belt Scale Model:	MUS MCS MSI MMI MLC
Preferred Construction:	Painted mild steel 304 SS 316 SS Other