Design-A-Gauge Worksheet

SPECIFICATIONS

* FIELDS HIGHLIGHTED IN YELLOW ARE REQUIRED

CONTACT INFORMATION
Name:
Company:
Mailing Address:
Phone:
E-mail:

Application Description (system type, fluid etc.):
Program Description (initial quantity, time frame, program quantity, schedule etc.):
Pressure Range:	to    PSI or Other
Proof Pressure:	PSI or Other
Accuracy:	+ -    % of Full Scale or + -  PSI
Case Diameter: (in inches)	0.751.001.201.501.72.02.22.5Other

MATERIALS
CASE:	Aluminum Allow 2024Stainless Steel 303 CRESOther
FITTING:	Stainless Steel 303 CRESOther
BOURDON COIL:	Iconel X-750Beryllium Copper
CRYSTAL:	Acrylic, PlexiglasPolycarbonate, LexanTemperedGlass
DIAL:	Aluminum Alloy 2024Other
SPACER:	Alluminum Alloy 2024Other
BACKPLATE:	Stainless Steel 316 CRESStainless Steel 303 CRESOther

DESIGN CRITERIA
BURST PRESSURE:	PSI Minimum or
VIBRATION:	Meets the requirements of (specify)
SHOCK:	Meets the requirements of (specify)
WEIGHT:	Pounds Maximum
OPERATING TEMPERATURE RANGE:	- F to + F or
FLUID MEDIA:	(specify)
ENVIRONMENTAL:	Meets the requirements of (specify)
OTHER:	(specify)

FEATURES
FITTING STYLE:  Straight Theread, Std Straight Theread, Bulkhead Tapered Thread Metric Other FITTING LOCATION:  Center, Back Bottom Top Side FITTING THREAD SPECIFICATION:
DIAL MARKINGS:
Dial Background Color: Major Hash Marks At: Numeral/Character Color: Intermediate Hash Marks At: Numerals At: Minor Hash Marks At:
SPECIAL DIAL MARKINGS:
Customer Logo:	Yes (Please provide digital artwork)No
QED/inc. Part Number:	YesNo
Customer Part Number:	YesNo
Color Bands:	YesNo (Please provide drawings or art)
POINTER COLOR:	WhiteBlackOther
DAMPENING POST:	NoneTeflonNylonAluminumOther
NAMEPLATE:	YesNo (Chrome Mylar with black characters)
CRYSTAL SEALANT:	NoneRTVRubber, O-ring or GasketOther
BACKPLATE ADHESIVE:	EpoxyOther
BLOW OUT SEAL:	Chrome MylarVinyl TapeRubber PlugOther