Advanced Sensor Technologies, Inc.
603 North Poplar Street, Orange CA 92868-1011 USA TEL: 714-978-2837 FAX: 714-978-6339
TOLL FREE: 888-WOW-ASTI (888-969-2784)

IotronTM Process Ion Selective Equipment Application Questionnaire

Company: Name and Address: ______________________________________________________
_________________________________________________________________________________
Contact Person: Name, Phone & Fax Number, E-mail address: __________________________
_________________________________________________________________________________
Sample Information:
        Description: ___________________________________________________________________
        Major Constituents & Concentrations: ______________________________________________
        _____________________________________________________________________________
        Solvent Contents: ______________________________________________________________
        _____________________________________________________________________________
        Particulates Content: ____________________________________________________________
        Viscosity: ______________________________ Max. Pressure: _________________________
        Temperature: ___________________________  Flow Rate: ____________________________
        Target Ion and Concentration Range: _______________________________________________
        Expected Fluctuation Range: _____________________________________________________
Process Instrumentation:
        Make & Model Number: _________________________________________________________
        Distance to Sensor: ______________________  Preamplifier Used: ______________________
        Other Related Equipment (i.e. pumps, controllers, pid, recorders): ________________________
        _____________________________________________________________________________
        System Diagram: Please attach a sketch of sensor installation and overall process setup.
Sensor Information:
        Make & Model Number: ________________________________________________________
        Type (Solid State, Organic, Glass): ___________ Cable Length: _________________________
        Configuration: ___________________________ Orientation: ___________________________
        Current Lifetime: _________________________ Desired Lifetime: _______________________
        Failure Mechanism: ____________________________________________________________
        Frequency of Cleaning: ____________________ Cleaning Process: _______________________
        ____________________________________________________________________________
        Frequency of Calibration: __________________  Desired Frequency: _____________________
        Calibration Solution Concentrations: _______________________________________________
        Desired features not available with currently used sensor: _______________________________
        ____________________________________________________________________________
Comments: ______________________________________________________________________

e-mail: sales@astisensor.com website: http://www.astisensor.com
Iotron
TM Sensors are a trademark of ASTI