CHART RECORDERS & DATALOGGERS Recorders Pricing Effective January 1, to April 30, 2016 Note! Click here for details on State Restrictions of Mercury Added Products BEFORE accepting orders for any products containing mercury. RECORDER ORDER FORM For Better Than Normal Delivery (BTND) check with Production before quoting! Bill To: Ship To: Phone: Fax: Recorder Order Form Model Number:_________________ Case Mount Door Qty:________________ Price Add $ See PL $________ 8"___ 12"___ Wall___ Pedestal___ Flush___ Portable___ Pelican Case Portable ___(8" only) Pipestand___ Draw Pull Latch with Hasp standard on Wall, Pedestal and Portable. Black Knob standard on Flush Glass ___ Plexiglass ___ (Std on Pelican) Solid ___ (POA for Pelican) Shatter-proof Glass ___ (POA) $________ 1 $________ Optional Door Stop ___ (Std on Pelican Case) 1 Optional Double Latch Bar with Padlock type Handle (Solid Door included) ___ Optional Black Knob ___ 1 (POA) Hammertone Grey (Std) ___ Optional: Black Wrinkle ___ White ___ $________ $________ Pelican Black (Std) ___ $________ $________ Included Paint Other (Specify) ________________________________________ Pens POA One ___ Two ___ Three ___ (Note: Top (1st) Pen tracks Arc Line unless indicated otherwise) (Fill in: Red, Blue or Green) $________ Included Top:_____________ Middle:_____________ Bottom:_____________ Pen Color One spare Pen included in the appropriate color for each pen specified. (Add as separate line item) Pen Type Felt Tip Pen (Std) Chart Size 8" - 6-3/8" Arc Line (Std) ___ 12" - 6-3/8" Arc Line (Std) ___ 1 Other: (Please Specify) _____________ Included Box of 100 charts included. Fill in Part Number____________________________* No Charts: indicate Chart Number to calibrate to ______________ (Required Field) In Stock Charts, Standard Lead Time for Recorder and Charts Out of Stock Charts, add approx 2 weeks to Lead Time for Recorder and Charts If quicker Lead time is needed, Pkg of 10 Percentage Charts may be substituted: #______________ Included Chart # SPECIAL OFFER - on Special Order Charts at time of Recorder purchase only: additional boxes Special Order Charts (100/box) $19.75 each, No minimum, No Discount** (Add) $19.75/bx PC-11 Multi-speed (Std) Set ON: Min: 60, 96, Hours: 12, Days: 1, 2, 7, 8, 14, 16, 31, 32 (circle) PC-12 Multi-speed (Std) Set ON: Min: 30, Hours: 1, 2, 4, 6, 8, 12, Days: 1, 2, 3, 4, 7, (circle) (Add) Spring Wound: (725 RO84) Choose Speed: 24 Hr. ___ Clock 7 Day ___ $________ Included $________ (Add) $________ Optional Spring Wound: (725 RO86) Choose Speed: 15 Min. ___ 1 Hr. ___ (Add) POA $________ Optional Spring Wound: (725 RO77) Choose Speed: 2 Hr. ___ 8 Hr. ___ (Add) POA $________ Optional Electric Clock, 120V: Choose Speed: 12 Hr. ___ 24 Hr. ___ 48 Hr. ___7 Day ___ (Add) POA $________ Optional Electric Clock, 220V: Choose Speed: 7 Day ___ (Add) POA $________ Linkage Wire (Std) Included Pen Arm Fixed (Std) Included POA - Priced on Application Subtotal Price Each: $________ * Check both IN STOCK Charts on Price List, and inventory before quoting lead time. CSR-015, Rev W: 05/01/16, RecorderOrderForm_CSR-015 **Add as separate line item. 1 not on Pelican Case. 59 (800) 421-2853 • FAX (828) 658-0728 • www.palmerwahl.com CHART RECORDERS & DATALOGGERS Recorders Pricing Effective January 1, to April 30, 2016 RECORDER ORDER FORM Note! Click here for details on State Restrictions of Mercury Added Products BEFORE accepting orders for any products containing mercury. For Better Than Normal Delivery (BTND) check with Production before quoting! Pressure Systems Pressure Range Pressure Elements Pressure Connection Top Pen:_________ Middle Pen:_________ Bottom Pen:_________ High Pressure 316SS Helical Coil: PSI: 30# - 75# ) _____ (1/4" NPT Female Connection) PSI: 100# - 10,000#) _____ (1/4" NPT Female Conn), _____ Optional Autoclave Fitting on 10,000# PSI: 15,000# - 20,000#) _____ (9/16"-18 UNF High Pressure Female Autoclave Fitting) PSI: 25,000# - 30,000#) _____ (9/16"-18 UNF High Pressure Female Autoclave Fitting) Bar Charts available. Contact Customer Service for information. Low Pressure Diaphragm Element: PSI: 1# - 25# _____ (1/4" NPT Female Conn) 3# to 15# PSI _____ (Receiver) (1/4" NPT Female Conn) oz/in2: 10___ 15___20___25___ 30___50___ (1/4" NPT Fem. Conn) $________ (NC) POA $________ $________ $________ $________ $________ $________ $________ KPA: 5__ 20__80__100__ 500__ 800__1000__ 2000__5000__ (1/4" NPT Female Conn) $________ inHG: 10"___ 30"___50"___ (1/4" NPT Female Conn) $________ inH2O: 10"___ 15"___ 20"___ 25"___ 30"___40"___50"___ 60"___100"___ (1/4" NPT Female Conn) $________ (1/2" NPT Female Connection and additional Adaptors are available upon Request) $________ Bottom ___ Back (Lower) ___ Latch Side ___ Hinge Side___ Top ___ Other (Specify) _________________________________(See Pricing for Std Pressure Connection) Temperature Systems Temperature Range Top Pen:_________ Middle Pen:_________ Bottom Pen:_________ Included Temperature Element (Select) A) Armor: 304 Stainless Steel Flex Armor - 5 ft (Std) ___ - Total length if over 5 ft = ______ Add for each foot (Call over 25 ft) Total feet over 5 = _____ft. X Optional: 304 Stainless Steel Bendable Stiff, 3/16" diameter - 5 ft (Std) - Total length if over 5 ft = ______ Add for each foot Total feet over 5 = ______ft. X Included $________ Included $________ #AWR-3694 - Gas Industry Std 10.5" x .625" diameter Bulb with 1/2" NPT SS Adjustable Union ___ 45-5 ____ 45-11____ 45-12____ Included B) Bulb Type: 45-13 - Specify Bulb Length: 4"____, 6"____ (Std), 8"____, 12"____ 45-14 - 1/2" NPT ____ (Std) 3/4" NPT ____ (Opt) 1/2" Dia ____ (Std) 45-29 ___ 5/16" Diameter ____ 3/8" Diameter ____ 45-30 ___ 5/16" Diameter ____ 3/8" Diameter ____ 5/8" Dia ____ (Opt) Note: Bulbs over 12" Add for each 6" or fraction thereof:_________ Temperature Connection Location Bottom___ Back (Lower) ___ Latch Side ___ Hinge Side ___ $________ Top ___ Other (Specify) ______________________________(See Pricing for Std Temperature Connection) Valving & Test Connections (or with Quick Disconnects) Internal Valving Per Drawing: Pedestal Mount 2-1/2" Slip On___ 3" Slip On___ Thermowells (N/C) Included Gas Industry Std, 1" NPT External, 1/2" NPT Internal, 304SS - add as below: CP-970-1-1, 4-7/8" overall length ___ (Add) CP-970-1-2, 5-7/8" overall length ___ (Add) CP-970-1-3, 7-7/8" overall length ___ (Add) CP-970-1-4, 11-7/8" overall length ___ (Add) Other: (See Palmer Thermowells Catalog) Model # ___________________________________ TOTAL Price Each: POA - Priced on Application Prices and Specifications are subject to change without notice. 60 3" Threaded ___ $________ $________ $________ $________ $________ $________ CSR-015, Rev W: 05/01/16, RecorderOrderForm_CSR-015 (800) 421-2853 • FAX (828) 658-0728 • www.palmerwahl.com