UV Lamp ID Form

Use the corresponding image below to assist you when filling out the UV Lamp ID Form.

Contact & Company Info
Company*
Name*
Phone*
Fax
Email
Address
Street
City
State
Zip
UV System Information

Please refer to the diagram at the top.

Model Information
UV System Manufacturer
Lamp Part Number
A: Total Length (inches)
B: Shoulder Length (inches)
C: Arc Length
D: Diameter (inches) Ø
E1: Lead Length (inches)
E2: Lead Length (inches)
Part Information
F (inches)
G (inches)
H (inches) Ø
I (inches) Ø
End Fitting (inches)
End Fitting Material
Electrical Data Of The UV Lamp

If available. Not required if we have a lamp part number to identify by.
Lamp Voltage (V)
Lamp Current (A)
Lamp Power (watts per inch)
Additional Information
Captcha
Comments
This field is for validation purposes and should be left unchanged.