Pneumatic Actuator Specification Form

Please provide the following contact information:

Contact Information

	Name
	Title
	Company
	Address
	City, State Zip	,
	Phone
	Fax
	Email Address

Pneumatic Actuator Specification

Breakaway Torque (in-lb)

Actuation Type
Spring Return Double Acting
Fail Safe?
No Yes, Fail Open Yes, Fail Closed
Air Solenoid Valve
No Yes, NEMA I Enclosure Yes, NEMA III Enclosure Yes, NEMA VII / IX Enclosure
Positioner
No Pneumatic
	Type of Input for Pneumatic Positioner (If Selected)
	3-15 psig Other (Specify)
Electro-Pneumatic
	Type of Input for Electro-Pneumatic Positioner (If Selected)
	4-20 mA Other (Specify)
Limit Switch?
No Two Four
	Type of Limit Switch (If Selected)
	None SPDT DPDT
	Location of Limit Switch (If Selected)
	None End Top - Rotary Operation Top - Lever Operation