Custom Sensor Design Input Characteristics Output Characteristics Power Requirements Mechanical and Interface Environmental and Physical Characteristics Order Number This worksheet allows you to provide us with as much information as you have to help us provide a quote for your custom sensor/transducer requirements. Please give us your email address so that we may contact you with your quote. Email * Input Characteristics Define the input signal characteristics that the device will be sensing. Input AC Voltage AC Current DC Voltage DC Current Frequency Input Range Overload Output Characteristics Define the output signal characteristics. Output Type Voltage Current Load Resistance (Ohms) Response Time (mS) Power Requirements Define any power that is available for the unit. Power Available None/Self-Excited +15VDC +/-15VDC +28VDC +/-28VDC Other Mechanical/Interface Define any applicable mechanical design characteristics and desired interface configuration. Thru-Hole No Thru-Hole Clamp-On Fixed Hole Interface Configuration Fly Leads Header Barrier Connector D-Sub Number of Pins Environmental and Physical Characteristics Define any applicable environmental and physical requirements. Operating Temperature Range Storage Temperature Range Min Operating Temp (F) Max Operating Temp (F) Min Storage Temp (F) Max Storage Temp (F) Humidity/Moisture Resistance Yes EMI/EMC Yes Lightning/ESD Yes Vibration Yes Shock Yes Altitude Yes Explosive Atmosphere Yes Fungus Yes Dust/Sand Yes Salt Fog Yes Insulation Resistance Yes Dielectric Strength Yes Physical Information Weight Limits Finish Additional Information