Caltherm Thermal Actuator Questionnaire

 

 

Company Name: _______________________________________________    Address:______________________________________________________

Telephone/Fax:_________________________________________________

Company Contact:______________________________________________

 

_____________________________________________________________

 

Application Description: _______________________________________

_________________________________________________________

 

Working temperature range: Start-to-Stroke _____F  or _____ C

                        Full Stroke       _____F  or _____ C

Required piston movement:________ Inches or _______ mm

Environment Thermal Actuator will see: ____________________________

Application response time: _______________________________________

Maximum temp. Thermal Actuator will encounter: ______F or _____ C

Length of exposure at maximum temp.:                   ________Min./Hrs./Days

Minimum temp. Thermal Actuator will encounter:  _______F or _____ C

Length of exposure at minimum temp.:                   ________Min./Hrs./Days

Force required by Thermal Actuator:                       ________Lbs.

Load opposing piston/start-to-stroke temp.:             ________Lbs.

Will Thermal Actuator application require heating jacket?  ____Yes ____No

Anticipated annual usage:                                         ________

 

_____________________________________________________________

 

 

Additional specifications or information:____________________________

__________________________________________________________

   

 

Please copy and mail or fax completed questionnaire to Caltherm address below.

Caltherm Corporation

910 S Gladstone Ave

Columbus, IN 47201

(812) 372-0281 * FAX (812) 376-8305