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Aliaxis - Utilities & industry FIP - Formatura Iniezione Polimeri

ChemX3 Assistance Application Form

Per garantirvi un servizio efficiente ed ottimizzare i tempi di intervento, vi preghiamo di compilare attentamente il modulo di Richiesta Assistenza Tecnica, con il maggior numero di informazioni possibile.

Customer Information
First Name *
Last Name *
Company Name *
Address *
City *
Country *
Zip Code *
Telephone *
Fax *
E-mail *
Customer Name
Customer Address
End User
Activity Field
Other Activity Field

Application details
Installation mode * In-line    Submersible    Hot-tap
Pipe Material
Pipe Size *
Pipe Schedule
Working Pressure *   MIN:   MAX: TYP:  
Working Temperature *   MIN:   MAX: TYP:  

Fluid composition: *
with solid
Fluid viscosity (centipoises)
Fluid specific gravity (Kg/m3)
Fluid conductivity range * (µS)
Fluid pH range * (µS)
Flow Rate   MIN:   MAX:   TYP:  

Instrumentation description
Sensor *
Cell constant (for Conductivity Only)
Sensor location


Distance from sensor *  (please specify the measurement unit)

Power Supply


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Send the forms on-line or by fax to FLS Technical Support at +39 010 96216214

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