Customer Application Information

This information is required to properly configure a sensor system to meet your hydrogen detection and/or measurement needs.

Return completed form: Fax: (661) 775-9515 or email:

73000004 R2, Customer Application Information, Model 1700 Page 1 of 1

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Customer Information

Contact Name: / Title: / Date:
Company Name: / Application:
Street:
City: / State: / Zip:
Country: / Email:
Phone: / Fax:
Alternate Phone: / Date Needed: / H2scan Quote#:
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Basic Information - Items in Blue are required

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HY ALERTA Series 1600 Intrinsically Safe Fixed Area Hydrogen Monitor Configuration
Monitor Configuration / Standard Equipment / Optional Equipment
Analog Output
4-20mA
Analog Scale
0-4% (default)
Low %H2
High %H2
RS-422 Serial Interface
Included
Set Points, %H2
Amber LED
Default: 1%

Red LED
Default: 2% / Power Barrier
I.S. Power Barrier
Power Cable
4m Armored Cable
I.S. to Power Barrier
Serial Cable
4m RS422 I.S. to Serial Barrier
*ATEX certification is for Europe only. / RS422 Serial Barrier
Yes No
USB Adapter
Yes No
Serial Cable
Barrier to USB Adapter
Yes No
2m Standard
Yes No
Custom Length
I.S. to Serial Barrier
10m Yes No
Custom Length
Cal Gas Swivel Nozzle
Plumb cal to I.S. sensor
Yes No / Analog Output Barrier
Yes No
With Relays
Yes No
Programming Adapter
Yes No
Serial Cable
2m Standard Cable
(Barrier to PC)
Yes No
Power Cable
10m Armored Cable
(to P. Barrier)
Yes No
24V DC Power Supply
Yes No
Gas Composition: It is critical that ALL elements present in the gas mixture be listed. All non-listed gases may affect the warranty of the analyzer. If any gas composition changes beyond the specified range, analyzer performance may be impacted. Contact H2scan with an updated CAI..
Background Gas: / Air / Other (If background gas is NOT Air, then Oxygen and Nitrogen concentrations MUST BE specified below.)
Gas Components / Concentrations / Comments
Ranges at 1 ATM or Other / Min / Max / Nominal / Units
Hydrogen, H2 / % ppm
Is Hydrogen Always Present? Yes No
Nitrogen, N2 / % ppm
Oxygen, O2 / % ppm
Water Vapor, H2O / % ppm %RH
Inert Gases (He, Ar, etc.) / % ppm
Carbon Dioxide, CO2 / % ppm
Alkanes (Propane, Methane, etc.) / % ppm
Alkenes (Acetelyne, Ethene, etc.) / % ppm
Carbon Monoxide, CO / % ppm
Hydrogen Sulfide, H2S / % ppm
Other: / % ppm

This H2scan Corporation disclaimer covers the validity of quotes based on information provided by the customer on the Customer Application Information form. This customer provided information is used by H2scan to properly configure products that we warrant for the customer application. H2scan disclaims responsibility for any action taken in reliance upon customer provided information. All quotes from H2scan are valid for 60 days following the date of email transmission. Our company accepts no liability for the content of this email, or for the consequences of any actions taken on the basis of the information provided, unless that information is subsequently confirmed in writing. Any views or opinions presented in this email are solely those of the author and do not necessarily represent those of the company. Finally, the recipient should check this email and any attachments for the presence of viruses. The company accepts no liability for any damage caused by any virus transmitted by this email.
H2scan Corporation, 27215 Turnberry Lane, Unit# A, Valencia, CA, 91355 USA, www.H2scan.com

73000004 R2, Customer Application Information, Model 1700 Page 1 of 1