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Application Data Form

A PDF version of this form is available here.

Customer information
Company:
Contact name:
Address1:
Address2:
City:
State:
Zip:
Country:
Telephone:
Fax:
Email:


Instrument (if applicable)
Model:
Serial No.:
Software Version:
Outputs:
Options:


Application
Measurement
Compound:
Range
Sensitivity
Application
Process:
Type:
Fuels:
Stream
Composition
Temperature
Pressure
Moisture
Particulate Load
Flow Rate


Sample System
Type:
Dew Point:
Manufacturer:
Distance:
Flow Rate:
Filtering:Type:

Size:
Sample line:Type:

Temp:


Calibration
Type:
Location:
Gas Mixtures & Calibrations:
Distance:
Tubing:
Sequences:


Location
Physical:
Climate Control:



Home | Terms of Use
e-mail us: api-sales@teledyne.com

Teledyne is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy, national origin, age, disability, protected Veteran status, or any other characteristic protected by applicable federal, state, or local law. EEO Is The Law.

If you need assistance or an accommodation while seeking employment, please email teledynerecruitment@teledyne.com or call (805)373-4545. Determinations on requests for reasonable accommodation will be made on a case-by-case basis. Please note that only those inquiries concerning a request for reasonable accommodation will receive a response. Teledyne participates in E-Verify (English) (Spanish) and Pay Transparency. Details on Right To Work may be found in English and Spanish.

To confirm the authenticity of any recruitment related correspondence, please email teledynerecruitment@teledyne.com or call (805) 373-4545.

Copyright 2015 Teledyne Technologies Incorporated. All rights reserved.
Teledyne API • 9970 Carroll Canyon Road • San Diego, California 92131 • USA