<p> Phone: (800) 365-8766 Fax972) 522-4503</p><p>Belt Scale Application Data Sheet</p><p>Instructions: Navigate through the form using the TAB key or mouse. To select a checkbox, click with mouse or press the SPACEBAR. To select units, click and choose from drop-down menu. Customer Information Contact: Prepared By: Company: Date: Address: Notes on the Application: City: Country: Zip/Postal Code: Phone: E-mail: Fax: </p><p>Material </p><p>Material being measured: Particle size:</p><p>Corrosive state of material: High Moderate Not corrosive (choose one)</p><p>Conveyor (Supply sketch where possible) Sketch attached Application: Inventory Load out Control Blending Legal for trade Feed rate: minimum Accuracy required: + / - % maximum Constant feed rate: Yes No Access side: (looking in direction of belt travel) Left Right Both Electrical classification at scale location: (Degree (Degree Horizontal Incline/Decline Variable Incline Curved Profile: s) s) Belt speed: minimum maximum</p><p>Belt length: Belt width: Idler diameter: Tail pulley dia.: Trough angle: Degrees Idler spacing: A</p><p>Y</p><p>Integrator Requirements (indicate all that apply) Power available: Inputs required: Outputs required: Communications: 4-20 mA (specify): 4-20 mA AB Remote I/O PID PID DeviceNet</p><p>LVDT Remote totalizer Profibus-DP</p><p>Load Cells (#): Relays (#): RS-232 / RS-485 Modbus</p><p>Products suggested: Preferred Belt Scale Model: MUS MCS MSI MMI MLC Preferred Construction: Painted mild steel 304 SS 316 SS Other (specify)</p><p>© Siemens Form# 2-406R8 Phone: (800) 365-8766 Fax972) 522-4503</p><p>© Siemens Form# 2-406R8</p>