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id=titlebar><h1>GTM86100-10VV-W2A-USB Wall Plug-in ICT \/ ITE \/ Medical Power Supply<\/h1><\/div><div id=summary><\/div><div class=\"content model ict-ite-medical-power-supply-wall-plug-in-gtm86100-10vv-w2a-usb-w70375 m60cdc1b3\" id=content><script>var page=[];page[\"Model__c\"]=\"a0O0c00000PsvZaEAJ\";$(document).ready(function(){$('div#datasheet a[href*=\"product-information-request\"]').on('click',function(e){e.preventDefault();e.stopPropagation();rfqdialog();});let k=\"X_jsU8JxQJDwsARCvvqLjfQ2\";let _fns={};_fns[k]=function(lm,op){if(!op)\n$(lm).parent('tr.section').toggleClass('section-collapsed').nextUntil('tr.section').each(function(){$(this).toggleClass('hidden');});else if(op=='section-collapser')\n$(lm).parent('tr.section').addClass('section-collapsed').removeClass('section-expanded').nextUntil('tr.section').each(function(){$(this).addClass('hidden');});else 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href=\/download-datasheet\/w70375>Download PDF<\/a><a rel=nofollow class=\"col text-center button\" href=#output_connectors id=output_connectors_button>Configure Output Connector<\/a><\/div><div id=datasheet><div class=info><table class=\"table ruled\"><tbody><tr class=section><th colspan=2>Information<tr><th>Model Number<td>GTM86100-10VV-W2A-USB<tr><th>Agency Documents<td class=agency-documents><a rel=nofollow class=no-dialog href=http:\/\/www.globtek.info\/certs\/GTM86100\/>http:\/\/www.globtek.info\/certs\/GTM86100\/<\/a><tr><th>CE EC-Declaration for Medical<td><a href=\"https:\/\/cs.globtek.info\/ec_declaration?id=a0O0c00000PsvZaEAJ&m=1\">https:\/\/cs.globtek.info\/ec_declaration?id=a0O0c00000PsvZaEAJ<\/a><tr><th>CE EC-Declaration for Industrial\/Commercial\/ITE<td><a href=\"https:\/\/cs.globtek.info\/ec_declaration?id=a0O0c00000PsvZaEAJ&i=2\">https:\/\/cs.globtek.info\/ec_declaration?id=a0O0c00000PsvZaEAJ<\/a><tr><th>CE EC-Declaration for Household<td><a href=http:\/\/www.globtek.com\/product-information-request\/>Contact GlobTek for more information<\/a><tr><th>UKCA-Declaration for Medical<td><a href=\"https:\/\/cs.globtek.info\/ukca_declaration?id=a0O0c00000PsvZaEAJ&m=1\">https:\/\/cs.globtek.info\/ukca_declaration?id=a0O0c00000PsvZaEAJ<\/a><tr><th>UKCA-Declaration for Industrial\/Commercial\/ITE<td><a href=\"https:\/\/cs.globtek.info\/ukca_declaration?id=a0O0c00000PsvZaEAJ&i=2\">https:\/\/cs.globtek.info\/ukca_declaration?id=a0O0c00000PsvZaEAJ<\/a><tr><th>UKCA-Declaration for Household<td><a href=http:\/\/www.globtek.com\/product-information-request\/>Contact GlobTek for more information<\/a><tr><th>Morocco SDoC Declaration<td><a href=\"https:\/\/cs.globtek.info\/Morocco_SDoC_Declaration?id=a0O0c00000PsvZaEAJ\">https:\/\/cs.globtek.info\/Morocco_SDoC_Declaration?id=a0O0c00000PsvZaEAJ<\/a><tr><th>RoHS\/RoHS3 Declaration<td><a rel=nofollow href=\/pdf\/rohs_cert\/a0O0c00000PsvZaEAJ>https:\/\/www.globtek.com\/pdf\/rohs_cert\/a0O0c00000PsvZaEAJ<\/a><tr><th>Prop 65 Statement<td><a href=https:\/\/en.globtek.com\/prop-65-statement.pdf>https:\/\/en.globtek.com\/prop-65-statement.pdf<\/a><tr><th>REACH Declaration<td><a rel=nofollow href=\/pdf\/iso_certificates\/REACH.pdf>https:\/\/www.globtek.com\/pdf\/iso_certificates\/REACH.pdf<\/a><tr><th>Conflict Minerals Declaration<td><a rel=nofollow href=\/pdf\/conflict-minerals.pdf>https:\/\/www.globtek.com\/pdf\/conflict-minerals.pdf<\/a><tr class=section><th colspan=2>Model Parameters<tr><th>Type<td>Wall Plug-in<tr><th>Technology<td>AC\/DC Switching Adapter with USB Power Supply AC Adaptor<tr><th>Category<td>ICT \/ ITE \/ Medical Power Supply<tr><th>Input Voltage Range (V)<td>100-240V \u0334 , 50\/60Hz<tr><th>Max Input Current (A)<td>0.3A<tr><th>Max Output Power Rating (W)<td>10<tr><th>Output Voltage Range (V)<td>5-5.2<tr><th>Efficiency<td><a href=https:\/\/en.globtek.com\/news\/united-states-doe-eps-level-vi>USA DOE Level VI<\/a> \/ <a href=https:\/\/en.globtek.com\/news\/europe-erp-eco-design-eu-2019-1782-goes-into-effect-as-of-april-1-2020>Eco-design Directive 2009\/125\/EC, (EU) 2019\/1782<\/a><tr><th>Ingress Protection<td><tr><th>Size (mm)<td>75*39.8*24.8<tr><th>Enclosure<td><img alt=\"User-added image\" src=\"https:\/\/cs.globtek.info\/servlet\/rtaImage?eid=a0O0c00000PsvZa&feoid=00N30000009oq62&refid=0EM0c000001V12Z\" style=height:320px;width:500px><\/img><br><br>\u00a0<tr><th>3D File Download<td><a href=https:\/\/www.globtek.com\/file\/dl\/gtm86100-10vv-w2a-usb_asm.stp>https:\/\/www.globtek.com\/file\/dl\/gtm86100-10vv-w2a-usb_asm.stp<\/a><tr class=section><th colspan=2>Rating Table<tr><td colspan=2><table class=\"bordered border-lite\" id=rating><thead><tr><th>Model Number (Final ordering #\/Part No to be defined)<th>Voltage (V)<th>Current (A)<th>Power (W)<th>RFQ<tbody><tr><td>GTM86100-1005-W2A-USB*<td>5<td>2<td>10<td><button class=rfqselect name=relre_comment value=GTM86100-1005-W2A-USB data-rfqmessage=\"Please send me more information about: GTM86100-1005-W2A-USB\\n\\nMy requirements are:\\n\\nMy Output connector requirement is:\\n\\nMy Estimated Annual usage and immediately need quantity is:\\n\\nSpecial requests:\\n\\n\">RFQ<\/button><\/table><div style=font-size:90%>* (Final ordering #\/Part No to be defined)<\/div><tr class=section><th colspan=2>Specifications<tr><td colspan=2 id=spec_cell>01. Input Voltage: Specified 90-264 Vac, Nameplate rated: 100-240Vac<br>02. Input Frequency: Specified 47-63 Hz, Nameplate rated 50\/60Hz\u00a0<br>03. Output Regulation: +\/- 5% measured at the end of a 1 meter USB cordset employing #20 Gauge conductors\u00a0<br>04. Line Voltage Regulation: +\/- 1% typical measured at the end of a 1 meter USB cordset employing #20 Gauge conductors\u00a0<br>05.\u00a0Output Ripple (Vp-p): 1% or 100 mV whichever is greater, measured at 20 MHz bandwidth with 0.1 uf ceramic capacitor in parallel with a low impedance 47 uf electrolytic capacitor connected at the end of the output connector<br>06. Hold-up Time: 5 mS minimum\u00a0<br>07. Inrush Current: 30A maximum\u00a0 @ 230Vac input<br>08. Energy Efficiency:\u00a0 Complies to Efficiency Level \u00a0VI and ErP\u00a0<i><b>European<\/b><\/i>\u00a0Commission's Ecodesign Directive (2005\/32\/EC) \/ CoC Tier 2 Compliant<br><br>B) PROTECTION\u00a0<br>01. Over-current protection: 110%-140% maximum with auto-recovery function\u00a0<br>02. Output Over-Voltage: 110% to 130% of nominal output voltage<br>03. Short-circuit protection: The adapter shall not be damaged by short the DC output to Ground.\u00a0<br><br>C) SAFETY\u00a0<br>01. Dielectric Withstand Voltage: Primary To Secondary: 4000VAC or 5656VDC for 3 seconds<br>02. Leakage Current: 50uA maximum, at nominal 240Vac input voltage<br>03. ESD Immunity per EN61000-4-2, \u00b18 kV contact, \u00b115 kV air, Perf Criteria A Standard.\u00a0<br><br>D) EMC<br>01. Emissions, per EN 55032, EN 61000-6-3, EN 61000-6-4<br>\u00a0 Conducted Emissions: Class B, FCC Part 15, Class B<br>\u00a0 Radiated Emissions: Class B, FCC Part 15, Class B<br>02. Line Frequency Harmonics EN61000-3-2, Class A<br>03. Voltage Fluctuations\/Flicker EN61000-3-3<br>04. Immunity, per EN 55024, EN 61000-6-1, EN 61000-6-2<br>\u00a0 Static Discharge Immunity EN61000-4-2, 8kV Contact Discharge, 15kV air discharge<br>\u00a0 Radiated RF Immunity EN61000-4-3, 3V\/m 80-2700MHz,\u00a0 80% 1KHz AM.<br>\u00a0 EFT\/Burst Immunity EN61000-4-4, 2kV\/100kHz.<br>\u00a0 Line Surge Immunity EN61000-4-5, 1kV differential, 2kV common-mode<br>\u00a0 Conducted RF Immunity EN61000-4-6, 3Vrms, 80% 1KHz AM<br>\u00a0 Power Frequency Magnetic Field Immunity EN61000-4-8, NA<br>\u00a0 Voltage Dip Immunity EN61000-4-11, Criteria<br><br>E) OTHER:\u00a0<br>01. MTBF: 300,000 Hours @ 25\u00b0C ambient temperature\u00a0<br>02. Operating Temperature: 0\u00b0C to 50\u00b0C ambient temperature\u00a0<br>03. Operating Humidity: 20 ~ 85 % RH. non-condensing\u00a0<br>05. Storage Temperature: -20\u00b0C to 60\u00b0C\u00a0<br>06. Storage Humidity:5 ~ 95 % RH. non-condensing\u00a0<br>07. Cooling: Natural convection cooling\u00a0<br>08. RoHS 2: Complies with EU 2011\/65\/EU China SJ\/T 11364-2014\u00a0<br><br>F) ENCLOSURE\u00a0<br>01. Housing: High impact plastic, 94V0 polycarbonate, non-vented\u00a0<br>02. Markings: Label and\/or Pad Printed and\/or Molded in the case<br><br><span style=font-family:calibri,sans-serif><span style=font-size:11pt>F) OPTIONS:<br>01. Green Power On Indicator LED<br>02. NEMA 1-15P or European Schuko 7-16 AC Plug Configuration<br>03. Increased DC Output Voltage (up to 5.4V) to allow for long output cables<br>04. Special International Safety Approvals<br>05. Housing Color, special markings<\/span><\/span><tr><th>Derating Curve<td><img alt=\"User-added image\" src=\"https:\/\/cs.globtek.info\/servlet\/rtaImage?eid=a0O0c00000PsvZa&feoid=00Na0000009qxdh&refid=0EMa0000000Mcq5\" style=height:349px;width:500px><\/img><tr><th>Qty (ea.)\/Carton<td>300<tr><th>Individual Box\/Gift Box Size (mm)<td>90*54*50<tr><th>Individual Box\/Gift Box Color<td>White<tr><th>Master Carton Size (mm)<td>470 x 345 x 288<tr><th>Gross Weight (kg)<td>12<tr><th>Label Width (mm)<td>37.0<tr><th>Label Height (mm)<td>19.0<tr class=section><th colspan=2>Input Configuration<tr><th>Description<td>Australian AS 3112 configuration: SAA 2 pins Class II<p style=font-family:sans-serif;font-size:13px>Used in\u00a0<a href=http:\/\/en.wikipedia.org\/wiki\/Australia style=text-decoration:none;color:#0b0080 target=_blank title=Australia>Australia<\/a>,\u00a0<a href=http:\/\/en.wikipedia.org\/wiki\/New_Zealand style=text-decoration:none;color:#0b0080 target=_blank title=\"New Zealand\">New Zealand<\/a>,\u00a0<a href=http:\/\/en.wikipedia.org\/wiki\/Fiji style=text-decoration:none;color:#0b0080 target=_blank title=Fiji>Fiji<\/a>,\u00a0<a href=http:\/\/en.wikipedia.org\/wiki\/Papua_New_Guinea style=text-decoration:none;color:#0b0080 target=_blank title=\"Papua New Guinea\">Papua New Guinea<\/a>\u00a0and\u00a0<a href=http:\/\/en.wikipedia.org\/wiki\/Tokelau style=text-decoration:none;color:#0b0080 target=_blank title=Tokelau>Tokelau<\/a>, has two flat pins forming an inverted V-shape. These flat blades measure 6.3 by 1.5 mm with the Active and Neutral pins of 17 mm in length set 30\u00b0 to the vertical on a nominal pitch of 13.7\u00a0mm.\u00a0A standard power outlet in Australia provides a nominal voltage of 230 volts at a maximum of 10 amps and always includes an earth connection. As in the UK, its outlets are individually switched for extra safety.\u00a0<a href=http:\/\/en.wikipedia.org\/wiki\/Argentina style=text-decoration:none;color:#0b0080 target=_blank title=Argentina>Argentina<\/a>\u00a0uses a similar plug, with pins 1 mm longer.<p style=font-family:sans-serif;font-size:13px>\u00a0<\/p><img alt=\"User-added image\" src=\"https:\/\/cs.globtek.info\/servlet\/rtaImage?eid=a17a000000IEpZL&feoid=00Na0000009rTs5&refid=0EMa0000000M2t8\"><\/img><br><tr class=section><th colspan=2 id=output_connectors>Output Configuration<tr><td colspan=2>Common output connector options:<br>Click to add to your request.<script>$(document).ready(function(){$('table#connectors img').click(function(e){addusernote('Output connector: '+$(this).html()+$(this).attr('alt'));e.preventDefault();});});<\/script><table id=connectors><tr><td class=center width=140><img width=140 id=l_type style=position:relative src=\/images\/ds_output_configuration_images\/L_Type_bw.jpg alt=\"L Type (Coaxial 5.5x2.5mm plug)\"><br><td class=center width=140><img width=140 style=position:relative src=\/images\/ds_output_configuration_images\/C_Type_bw.jpg alt=\"C Type (Coaxial 5.5x2.1mm plug)\"><br><td class=center width=140><img width=140 style=position:relative src=\/images\/ds_output_configuration_images\/K_Type_bw.jpg alt=\"K Type (Coaxial 3.5x1.3mm plug)\"><br><td class=center width=140><img width=140 style=position:relative src=\/images\/ds_output_configuration_images\/LL_Type_760k_Type_bw.jpg alt=\"LL Type (5.5x2.5mm Locking 760k type)\"><br><td class=center width=140><img width=140 style=position:relative src=\/images\/ds_output_configuration_images\/CL_Type_760k_Type_bw.jpg alt=\"CL Type (5.5x2.1mm Locking S761k type)\"><br><td class=center width=140><img width=140 style=position:relative src=\/images\/ds_output_configuration_images\/magnetic_connector.png alt=\"Magnetic Connector\"><br><tr class=caption><td>L Type (Coaxial 5.5x2.5mm plug)<td>C Type (Coaxial 5.5x2.1mm plug)<td>K Type (Coaxial 3.5x1.3mm plug)<td>LL Type (5.5x2.5mm Locking 760k type)<td>CL Type (5.5x2.1mm Locking S761k type)<td>Magnetic Connector<tr><td class=center width=140><img width=140 style=position:relative src=\/images\/ds_output_configuration_images\/YL3_Type_KPPX-3P.jpg alt=\"YL3 Type (KPPX-3P)\"><br><td class=center width=140><img width=140 style=position:relative src=\/images\/ds_output_configuration_images\/YL3_Type_KPPX-3P_2.jpg alt=\"YL4 Type (KPPX-4P)\"><br><td class=center width=140><img width=140 style=position:relative src=\/images\/ds_output_configuration_images\/EJ1_2_3_4_5_EIAJ_type_connectors.jpg alt=\"EJ1\/2\/3\/4\/5 (EIAJ RC-5320A type connectors)\"><br><td class=center width=140><img width=140 style=position:relative src=\/images\/ds_output_configuration_images\/MSB_Type_Micro_USB.jpg alt=\"MSB Type (Micro USB)\"><br><td class=center width=140><img width=140 style=position:relative src=\/images\/ds_output_configuration_images\/custom_design.jpg alt=\"Custom design\"><br><tr class=caption><td>YL3 Type (KPPX-3P)<td>YL4 Type (KPPX-4P)<td>EJ1\/2\/3\/4\/5 (EIAJ RC-5320A type connectors)<td>MSB Type (Micro USB)<td>Inquire for custom design<\/table><img style=display:none src id=connector_preview><br><p>For a comprehensive list of options, <a href=http:\/\/en.globtek.com\/globtek-output-cordsets\/ target=_top>click here<\/a><p>Contact GlobTek for your specific requirements or custom solutions.<tr class=section><th colspan=2><span id=approvals_hdr>Approvals<\/span><tr><td colspan=2><p>Below follows a link to the latest regulatory certifications and marks for this specific product. National standards as well as certification schemes are constantly changing and so is the set of certification marks and symbols applicable to this product. Various standards, marks and symbols, and certificates are subject to change at any time without notice.<p>Additional standards or unique country certifications are available upon request. Please contact Globtek to request a quotation.<tr><td colspan=2><table id=approvals class=\"bordered border-lite\"><thead><tr><th>Logo<th>Description<tbody><tr><td style=text-align:center><img alt=\"User-added image\" src=\"https:\/\/cs.globtek.info\/servlet\/rtaImage?eid=a17a000000Gn5rQ&feoid=00Na0000009rTs5&refid=0EMa0000000LvZv\"><\/img><td>Japan: Voluntary Control Council for Interference (VCCI)<tr><td style=text-align:center>RoHS<td>Specifications of directive 2011\/65\/EU Annex VI (ROHS-2) with amendment 2015\/863-EU (ROHS-3) http:\/\/www.ce-mark.com\/Rohs%20final.pdf<tr><td style=text-align:center><p class=MsoNormal><span style=font-family:arial,sans-serif;font-size:10pt>No Logo Applicable<\/span><td>CB for IEC 62368-1:2014 (Second Edition)<tr><td style=text-align:center><img alt=\"User-added image\" src=\"https:\/\/cs.globtek.info\/servlet\/rtaImage?eid=a17a000000GoB0k&feoid=00Na0000009rTs5&refid=0EMa0000000Luf9\"><\/img><td><tr><td style=text-align:center><p class=MsoNormal><span style=font-family:arial,sans-serif;font-size:10pt>No Logo Applicable<\/span><td>IEC 60335-1:2010+A1+A2<tr><td style=text-align:center>\u00a0<img alt=\"User-added image\" src=\"https:\/\/cs.globtek.info\/servlet\/rtaImage?eid=a17a000000GJA0K&feoid=00Na0000009rTs5&refid=0EMa0000000Mc1v\"><\/img><td>WEEE: Complies with EU 2012\/19\/EU (http:\/\/ec.europa.eu\/environment\/waste\/weee\/index_en.htm) Mark is on the label or Molded in the case<tr><td style=text-align:center><img alt=\"User-added image\" src=\"https:\/\/cs.globtek.info\/servlet\/rtaImage?eid=a17a000000Gn5pF&feoid=00Na0000009rTs5&refid=0EMa0000000MU9b\" style=\"color:#333;font-family:sans-serif,arial,verdana,trebuchet ms\"><\/img><td>CHINA SJ\/T 11364-2014, China RoHS Chart: http:\/\/www.globtek.com\/pdf\/F-GT-DJD-8.4.1-006%20China%20RoHS%20Declaration%205-20-22.pdf<tr><td style=text-align:center>\u00a0<img alt=\"User-added image\" src=\"https:\/\/cs.globtek.info\/servlet\/rtaImage?eid=a17a000000UPZxX&feoid=00Na0000009rTs5&refid=0EMa00000004huD\"><\/img><br>\u00a0<td>Efficiency: complies to section 301 of Energy Independence and Security Act (EISA) complies with Energy Star tier 2 (North America), ECP tier 2 (China), MEPS tier 2 (Australia), Code of Conduct (Europe)<tr><td style=text-align:center><img alt=\"User-added image\" src=\"https:\/\/cs.globtek.info\/servlet\/rtaImage?eid=a17a000000Gmcl3&feoid=00Na0000009rTs5&refid=0EM0c000000O0uw\"><\/img><td>Indoor Use Only - Mark is on the label or Molded in the case<tr><td style=text-align:center><img alt=\"User-added image\" src=\"https:\/\/cs.globtek.info\/servlet\/rtaImage?eid=a170c00000QviVY&feoid=00Na0000009rTs5&refid=0EMa0000000MY3Y\"><\/img>\u00a0\u00a0<td>Declaration \u0414\u0421 \u2116 \u0415\u0410\u042d\u0421 N RU \u0414-US.\u041a\u041001.\u0412.10453_19 Custom Union of Russia, Belarus and Kazakhstan http:\/\/www.globtek.com\/redirect\/?loc=gost-certificate-eac-declaration<tr><td style=text-align:center><br><img alt=\"User-added image\" src=\"https:\/\/cs.globtek.info\/servlet\/rtaImage?eid=a17a000000Gosd0&feoid=00Na0000009rTs5&refid=0EMa0000000LuZa\"><\/img>\u00a0\u00a0<td>CE Certification<tr><td style=text-align:center><img alt=\"User-added image\" src=\"https:\/\/cs.globtek.info\/servlet\/rtaImage?eid=a170c000012PRot&feoid=00Na0000009rTs5&refid=0EM0c000001EHjp\"><\/img><td>RCM certificate SAA-152394-EA; Australia and New Zealand Regulatory Compliance, Mark (http:\/\/rcm.standards.org.au\/rcmfaq\/rcmfaq.htm<tr><td style=text-align:center>No Logo Applicable<td>CB report IEC 60601-1: 2005 + CORR. 1 (2006) + CORR. 2 (2007) and or EN 60601-1:2006 3rd Edition including 2MOOP requirements<\/table><tr class=section><th colspan=2>Popular Products (Stock items)<tr><td colspan=2><table id=products class=\"bordered border-lite\"><thead><tr><th>SKU<th>Volts Out<th>Current Out (Amps)<th>Connector<th>RFQ<th>Sample Request<tbody><tr><td>1398831<td>5.0<td>2.0<td><td><button class=rfqselect name=relre_comment value=1398831 data-rfqmessage=\"Please send me more information about SKU 1398831\\n\\nMy special requirements:\\n\\nOutput connector Notes if any:\\n\\nMy Estimated Annual usage and immediately need quantity is:\\n\\n\">RFQ<\/button><td><button class=rfqselect name=relre_comment value=1398831 data-rfqmessage=\"Please send a sample of SKU 1398831\\n\\nMy special requirements:\\n\\nOutput connector Notes if any:\\n\\nMy Estimated Annual usage and immediately need quantity is:\\n\\nApplication (required, if not filled in we will get in touch to follow up):\\n\\n\">Sample Request<\/button><\/table><\/table><\/div><\/div><\/div><\/article><\/div><div id=bottom><section id=rfq><div id=rfi_form class=title>Request Info<\/div><div id=relre_rfq title=\"Request Info\"><form class=pre-verify id=relre_comment_form action=\/php\/qlead.php method=post onsubmit=\"return false;\"><input type=hidden id=relre_user_note name=user_note><input type=hidden name=retURL><input type=hidden name=oid value=a0O0c00000PsvZaEAJ><div class=section><label for=relre_name>Name (Required)<\/label><input required name=name id=relre_name><label for=relre_company>Company name (Required)<\/label><input required name=company id=relre_company><label for=relre_email>Your Email(Required)<\/label><input required type=email name=email id=relre_email><label for=relre_phone>Phone number<\/label><input name=phone id=relre_phone><\/div><div class=section><div><label for=relre_country>Country (Required)<\/label><select class=form-control required id=relre_country name=country><\/select><input type=hidden id=relre_ctryval name=ctryval><\/div><div><label for=relre_state>State<\/label><select class=form-control name=state id=relre_state title=\"Select a country first\"><\/select><input type=hidden id=relre_stateval name=stateval><\/div><div class=section><label 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id=titlebar><h1>GTM86100-10VV-W2A-USB Wall Plug-in ICT \/ ITE \/ Medical Power Supply<\/h1><\/div><div id=summary><\/div><div class=\"content model ict-ite-medical-power-supply-wall-plug-in-gtm86100-10vv-w2a-usb-w70375 m60cdc1b3\" id=content><script>var page=[];page[\"Model__c\"]=\"a0O0c00000PsvZaEAJ\";$(document).ready(function(){$('div#datasheet a[href*=\"product-information-request\"]').on('click',function(e){e.preventDefault();e.stopPropagation();rfqdialog();});let k=\"X_jsU8JxQJDwsARCvvqLjfQ2\";let _fns={};_fns[k]=function(lm,op){if(!op)\n$(lm).parent('tr.section').toggleClass('section-collapsed').nextUntil('tr.section').each(function(){$(this).toggleClass('hidden');});else if(op=='section-collapser')\n$(lm).parent('tr.section').addClass('section-collapsed').removeClass('section-expanded').nextUntil('tr.section').each(function(){$(this).addClass('hidden');});else 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type=application\/ld+json>{\"@context\":\"https:\\\/\\\/schema.org\",\"@type\":\"Dataset\",\"name\":null,\"description\":\"\",\"distribution\":[{\"@type\":\"DataDownload\",\"encodingFormat\":\"application\\\/pdf\",\"contentUrl\":\"https:\\\/\\\/www.globtek.com\\\/download-datasheet\\\/w70375\"}],\"creator\":{\"@type\":\"Organization\",\"name\":\"GlobTek\",\"url\":\"https:\\\/\\\/www.globtek.com\",\"contactPoint\":{\"@type\":\"ContactPoint\",\"contactType\":\"sales\",\"telephone\":\"+1-201-784-1000\",\"email\":\"sales@globtek.com\"}},\"license\":{\"@type\":\"CreativeWork\",\"name\":\"GlobTek Terms and Conditions\",\"url\":\"https:\\\/\\\/www.globtek.com\\\/terms-and-conditions\"},\"isAccessibleForFree\":true}<\/script><div class=\"row p-3 buttons\"><a rel=nofollow class=\"col text-center button rfq hidden\" href=#relre_rfq id=rfi_button data-note=GTM86100-10VV-W2A-USB>Request Information<\/a><a rel=nofollow class=\"col text-center button\" target=_blank href=\/download-datasheet\/w70375>Download PDF<\/a><a rel=nofollow class=\"col text-center button\" href=#output_connectors id=output_connectors_button>Configure Output Connector<\/a><\/div><div id=datasheet><div class=info><table class=\"table ruled\"><tbody><tr class=section><th colspan=2>Information<tr><th>Model Number<td>GTM86100-10VV-W2A-USB<tr><th>Agency Documents<td class=agency-documents><a rel=nofollow class=no-dialog href=http:\/\/www.globtek.info\/certs\/GTM86100\/>http:\/\/www.globtek.info\/certs\/GTM86100\/<\/a><tr><th>CE EC-Declaration for Medical<td><a href=\"https:\/\/cs.globtek.info\/ec_declaration?id=a0O0c00000PsvZaEAJ&m=1\">https:\/\/cs.globtek.info\/ec_declaration?id=a0O0c00000PsvZaEAJ<\/a><tr><th>CE EC-Declaration for Industrial\/Commercial\/ITE<td><a href=\"https:\/\/cs.globtek.info\/ec_declaration?id=a0O0c00000PsvZaEAJ&i=2\">https:\/\/cs.globtek.info\/ec_declaration?id=a0O0c00000PsvZaEAJ<\/a><tr><th>CE EC-Declaration for Household<td><a href=http:\/\/www.globtek.com\/product-information-request\/>Contact GlobTek for more information<\/a><tr><th>UKCA-Declaration for Medical<td><a href=\"https:\/\/cs.globtek.info\/ukca_declaration?id=a0O0c00000PsvZaEAJ&m=1\">https:\/\/cs.globtek.info\/ukca_declaration?id=a0O0c00000PsvZaEAJ<\/a><tr><th>UKCA-Declaration for Industrial\/Commercial\/ITE<td><a href=\"https:\/\/cs.globtek.info\/ukca_declaration?id=a0O0c00000PsvZaEAJ&i=2\">https:\/\/cs.globtek.info\/ukca_declaration?id=a0O0c00000PsvZaEAJ<\/a><tr><th>UKCA-Declaration for Household<td><a href=http:\/\/www.globtek.com\/product-information-request\/>Contact GlobTek for more information<\/a><tr><th>Morocco SDoC Declaration<td><a href=\"https:\/\/cs.globtek.info\/Morocco_SDoC_Declaration?id=a0O0c00000PsvZaEAJ\">https:\/\/cs.globtek.info\/Morocco_SDoC_Declaration?id=a0O0c00000PsvZaEAJ<\/a><tr><th>RoHS\/RoHS3 Declaration<td><a rel=nofollow href=\/pdf\/rohs_cert\/a0O0c00000PsvZaEAJ>https:\/\/www.globtek.com\/pdf\/rohs_cert\/a0O0c00000PsvZaEAJ<\/a><tr><th>Prop 65 Statement<td><a href=https:\/\/en.globtek.com\/prop-65-statement.pdf>https:\/\/en.globtek.com\/prop-65-statement.pdf<\/a><tr><th>REACH Declaration<td><a rel=nofollow href=\/pdf\/iso_certificates\/REACH.pdf>https:\/\/www.globtek.com\/pdf\/iso_certificates\/REACH.pdf<\/a><tr><th>Conflict Minerals Declaration<td><a rel=nofollow href=\/pdf\/conflict-minerals.pdf>https:\/\/www.globtek.com\/pdf\/conflict-minerals.pdf<\/a><tr class=section><th colspan=2>Model Parameters<tr><th>Type<td>Wall Plug-in<tr><th>Technology<td>AC\/DC Switching Adapter with USB Power Supply AC Adaptor<tr><th>Category<td>ICT \/ ITE \/ Medical Power Supply<tr><th>Input Voltage Range (V)<td>100-240V \u0334 , 50\/60Hz<tr><th>Max Input Current (A)<td>0.3A<tr><th>Max Output Power Rating (W)<td>10<tr><th>Output Voltage Range (V)<td>5-5.2<tr><th>Efficiency<td><a href=https:\/\/en.globtek.com\/news\/united-states-doe-eps-level-vi>USA DOE Level VI<\/a> \/ <a href=https:\/\/en.globtek.com\/news\/europe-erp-eco-design-eu-2019-1782-goes-into-effect-as-of-april-1-2020>Eco-design Directive 2009\/125\/EC, (EU) 2019\/1782<\/a><tr><th>Ingress Protection<td><tr><th>Size (mm)<td>75*39.8*24.8<tr><th>Enclosure<td><img alt=\"User-added image\" src=\"https:\/\/cs.globtek.info\/servlet\/rtaImage?eid=a0O0c00000PsvZa&feoid=00N30000009oq62&refid=0EM0c000001V12Z\" style=height:320px;width:500px><\/img><br><br>\u00a0<tr><th>3D File Download<td><a href=https:\/\/www.globtek.com\/file\/dl\/gtm86100-10vv-w2a-usb_asm.stp>https:\/\/www.globtek.com\/file\/dl\/gtm86100-10vv-w2a-usb_asm.stp<\/a><tr class=section><th colspan=2>Rating Table<tr><td colspan=2><table class=\"bordered border-lite\" id=rating><thead><tr><th>Model Number (Final ordering #\/Part No to be defined)<th>Voltage (V)<th>Current (A)<th>Power (W)<th>RFQ<tbody><tr><td>GTM86100-1005-W2A-USB*<td>5<td>2<td>10<td><button class=rfqselect name=relre_comment value=GTM86100-1005-W2A-USB data-rfqmessage=\"Please send me more information about: GTM86100-1005-W2A-USB\\n\\nMy requirements are:\\n\\nMy Output connector requirement is:\\n\\nMy Estimated Annual usage and immediately need quantity is:\\n\\nSpecial requests:\\n\\n\">RFQ<\/button><\/table><div style=font-size:90%>* (Final ordering #\/Part No to be defined)<\/div><tr class=section><th colspan=2>Specifications<tr><td colspan=2 id=spec_cell>01. Input Voltage: Specified 90-264 Vac, Nameplate rated: 100-240Vac<br>02. Input Frequency: Specified 47-63 Hz, Nameplate rated 50\/60Hz\u00a0<br>03. Output Regulation: +\/- 5% measured at the end of a 1 meter USB cordset employing #20 Gauge conductors\u00a0<br>04. Line Voltage Regulation: +\/- 1% typical measured at the end of a 1 meter USB cordset employing #20 Gauge conductors\u00a0<br>05.\u00a0Output Ripple (Vp-p): 1% or 100 mV whichever is greater, measured at 20 MHz bandwidth with 0.1 uf ceramic capacitor in parallel with a low impedance 47 uf electrolytic capacitor connected at the end of the output connector<br>06. Hold-up Time: 5 mS minimum\u00a0<br>07. Inrush Current: 30A maximum\u00a0 @ 230Vac input<br>08. Energy Efficiency:\u00a0 Complies to Efficiency Level \u00a0VI and ErP\u00a0<i><b>European<\/b><\/i>\u00a0Commission's Ecodesign Directive (2005\/32\/EC) \/ CoC Tier 2 Compliant<br><br>B) PROTECTION\u00a0<br>01. Over-current protection: 110%-140% maximum with auto-recovery function\u00a0<br>02. Output Over-Voltage: 110% to 130% of nominal output voltage<br>03. Short-circuit protection: The adapter shall not be damaged by short the DC output to Ground.\u00a0<br><br>C) SAFETY\u00a0<br>01. Dielectric Withstand Voltage: Primary To Secondary: 4000VAC or 5656VDC for 3 seconds<br>02. Leakage Current: 50uA maximum, at nominal 240Vac input voltage<br>03. ESD Immunity per EN61000-4-2, \u00b18 kV contact, \u00b115 kV air, Perf Criteria A Standard.\u00a0<br><br>D) EMC<br>01. Emissions, per EN 55032, EN 61000-6-3, EN 61000-6-4<br>\u00a0 Conducted Emissions: Class B, FCC Part 15, Class B<br>\u00a0 Radiated Emissions: Class B, FCC Part 15, Class B<br>02. Line Frequency Harmonics EN61000-3-2, Class A<br>03. Voltage Fluctuations\/Flicker EN61000-3-3<br>04. Immunity, per EN 55024, EN 61000-6-1, EN 61000-6-2<br>\u00a0 Static Discharge Immunity EN61000-4-2, 8kV Contact Discharge, 15kV air discharge<br>\u00a0 Radiated RF Immunity EN61000-4-3, 3V\/m 80-2700MHz,\u00a0 80% 1KHz AM.<br>\u00a0 EFT\/Burst Immunity EN61000-4-4, 2kV\/100kHz.<br>\u00a0 Line Surge Immunity EN61000-4-5, 1kV differential, 2kV common-mode<br>\u00a0 Conducted RF Immunity EN61000-4-6, 3Vrms, 80% 1KHz AM<br>\u00a0 Power Frequency Magnetic Field Immunity EN61000-4-8, NA<br>\u00a0 Voltage Dip Immunity EN61000-4-11, Criteria<br><br>E) OTHER:\u00a0<br>01. MTBF: 300,000 Hours @ 25\u00b0C ambient temperature\u00a0<br>02. Operating Temperature: 0\u00b0C to 50\u00b0C ambient temperature\u00a0<br>03. Operating Humidity: 20 ~ 85 % RH. non-condensing\u00a0<br>05. Storage Temperature: -20\u00b0C to 60\u00b0C\u00a0<br>06. Storage Humidity:5 ~ 95 % RH. non-condensing\u00a0<br>07. Cooling: Natural convection cooling\u00a0<br>08. RoHS 2: Complies with EU 2011\/65\/EU China SJ\/T 11364-2014\u00a0<br><br>F) ENCLOSURE\u00a0<br>01. Housing: High impact plastic, 94V0 polycarbonate, non-vented\u00a0<br>02. Markings: Label and\/or Pad Printed and\/or Molded in the case<br><br><span style=font-family:calibri,sans-serif><span style=font-size:11pt>F) OPTIONS:<br>01. Green Power On Indicator LED<br>02. NEMA 1-15P or European Schuko 7-16 AC Plug Configuration<br>03. Increased DC Output Voltage (up to 5.4V) to allow for long output cables<br>04. Special International Safety Approvals<br>05. Housing Color, special markings<\/span><\/span><tr><th>Derating Curve<td><img alt=\"User-added image\" src=\"https:\/\/cs.globtek.info\/servlet\/rtaImage?eid=a0O0c00000PsvZa&feoid=00Na0000009qxdh&refid=0EMa0000000Mcq5\" style=height:349px;width:500px><\/img><tr><th>Qty (ea.)\/Carton<td>300<tr><th>Individual Box\/Gift Box Size (mm)<td>90*54*50<tr><th>Individual Box\/Gift Box Color<td>White<tr><th>Master Carton Size (mm)<td>470 x 345 x 288<tr><th>Gross Weight (kg)<td>12<tr><th>Label Width (mm)<td>37.0<tr><th>Label Height (mm)<td>19.0<tr class=section><th colspan=2>Input Configuration<tr><th>Description<td>Australian AS 3112 configuration: SAA 2 pins Class II<p style=font-family:sans-serif;font-size:13px>Used in\u00a0<a href=http:\/\/en.wikipedia.org\/wiki\/Australia style=text-decoration:none;color:#0b0080 target=_blank title=Australia>Australia<\/a>,\u00a0<a href=http:\/\/en.wikipedia.org\/wiki\/New_Zealand style=text-decoration:none;color:#0b0080 target=_blank title=\"New Zealand\">New Zealand<\/a>,\u00a0<a href=http:\/\/en.wikipedia.org\/wiki\/Fiji style=text-decoration:none;color:#0b0080 target=_blank title=Fiji>Fiji<\/a>,\u00a0<a href=http:\/\/en.wikipedia.org\/wiki\/Papua_New_Guinea style=text-decoration:none;color:#0b0080 target=_blank title=\"Papua New Guinea\">Papua New Guinea<\/a>\u00a0and\u00a0<a href=http:\/\/en.wikipedia.org\/wiki\/Tokelau style=text-decoration:none;color:#0b0080 target=_blank title=Tokelau>Tokelau<\/a>, has two flat pins forming an inverted V-shape. These flat blades measure 6.3 by 1.5 mm with the Active and Neutral pins of 17 mm in length set 30\u00b0 to the vertical on a nominal pitch of 13.7\u00a0mm.\u00a0A standard power outlet in Australia provides a nominal voltage of 230 volts at a maximum of 10 amps and always includes an earth connection. As in the UK, its outlets are individually switched for extra safety.\u00a0<a href=http:\/\/en.wikipedia.org\/wiki\/Argentina style=text-decoration:none;color:#0b0080 target=_blank title=Argentina>Argentina<\/a>\u00a0uses a similar plug, with pins 1 mm longer.<p style=font-family:sans-serif;font-size:13px>\u00a0<\/p><img alt=\"User-added image\" src=\"https:\/\/cs.globtek.info\/servlet\/rtaImage?eid=a17a000000IEpZL&feoid=00Na0000009rTs5&refid=0EMa0000000M2t8\"><\/img><br><tr class=section><th colspan=2 id=output_connectors>Output Configuration<tr><td colspan=2>Common output connector options:<br>Click to add to your request.<script>$(document).ready(function(){$('table#connectors img').click(function(e){addusernote('Output connector: '+$(this).html()+$(this).attr('alt'));e.preventDefault();});});<\/script><table id=connectors><tr><td class=center width=140><img width=140 id=l_type style=position:relative src=\/images\/ds_output_configuration_images\/L_Type_bw.jpg alt=\"L Type (Coaxial 5.5x2.5mm plug)\"><br><td class=center width=140><img width=140 style=position:relative src=\/images\/ds_output_configuration_images\/C_Type_bw.jpg alt=\"C Type (Coaxial 5.5x2.1mm plug)\"><br><td class=center width=140><img width=140 style=position:relative src=\/images\/ds_output_configuration_images\/K_Type_bw.jpg alt=\"K Type (Coaxial 3.5x1.3mm plug)\"><br><td class=center width=140><img width=140 style=position:relative src=\/images\/ds_output_configuration_images\/LL_Type_760k_Type_bw.jpg alt=\"LL Type (5.5x2.5mm Locking 760k type)\"><br><td class=center width=140><img width=140 style=position:relative src=\/images\/ds_output_configuration_images\/CL_Type_760k_Type_bw.jpg alt=\"CL Type (5.5x2.1mm Locking S761k type)\"><br><td class=center width=140><img width=140 style=position:relative src=\/images\/ds_output_configuration_images\/magnetic_connector.png alt=\"Magnetic Connector\"><br><tr class=caption><td>L Type (Coaxial 5.5x2.5mm plug)<td>C Type (Coaxial 5.5x2.1mm plug)<td>K Type (Coaxial 3.5x1.3mm plug)<td>LL Type (5.5x2.5mm Locking 760k type)<td>CL Type (5.5x2.1mm Locking S761k type)<td>Magnetic Connector<tr><td class=center width=140><img width=140 style=position:relative src=\/images\/ds_output_configuration_images\/YL3_Type_KPPX-3P.jpg alt=\"YL3 Type (KPPX-3P)\"><br><td class=center width=140><img width=140 style=position:relative src=\/images\/ds_output_configuration_images\/YL3_Type_KPPX-3P_2.jpg alt=\"YL4 Type (KPPX-4P)\"><br><td class=center width=140><img width=140 style=position:relative src=\/images\/ds_output_configuration_images\/EJ1_2_3_4_5_EIAJ_type_connectors.jpg alt=\"EJ1\/2\/3\/4\/5 (EIAJ RC-5320A type connectors)\"><br><td class=center width=140><img width=140 style=position:relative src=\/images\/ds_output_configuration_images\/MSB_Type_Micro_USB.jpg alt=\"MSB Type (Micro USB)\"><br><td class=center width=140><img width=140 style=position:relative src=\/images\/ds_output_configuration_images\/custom_design.jpg alt=\"Custom design\"><br><tr class=caption><td>YL3 Type (KPPX-3P)<td>YL4 Type (KPPX-4P)<td>EJ1\/2\/3\/4\/5 (EIAJ RC-5320A type connectors)<td>MSB Type (Micro USB)<td>Inquire for custom design<\/table><img style=display:none src id=connector_preview><br><p>For a comprehensive list of options, <a href=http:\/\/en.globtek.com\/globtek-output-cordsets\/ target=_top>click here<\/a><p>Contact GlobTek for your specific requirements or custom solutions.<tr class=section><th colspan=2><span id=approvals_hdr>Approvals<\/span><tr><td colspan=2><p>Below follows a link to the latest regulatory certifications and marks for this specific product. National standards as well as certification schemes are constantly changing and so is the set of certification marks and symbols applicable to this product. Various standards, marks and symbols, and certificates are subject to change at any time without notice.<p>Additional standards or unique country certifications are available upon request. Please contact Globtek to request a quotation.<tr><td colspan=2><table id=approvals class=\"bordered border-lite\"><thead><tr><th>Logo<th>Description<tbody><tr><td style=text-align:center><img alt=\"User-added image\" src=\"https:\/\/cs.globtek.info\/servlet\/rtaImage?eid=a17a000000Gn5rQ&feoid=00Na0000009rTs5&refid=0EMa0000000LvZv\"><\/img><td>Japan: Voluntary Control Council for Interference (VCCI)<tr><td style=text-align:center>RoHS<td>Specifications of directive 2011\/65\/EU Annex VI (ROHS-2) with amendment 2015\/863-EU (ROHS-3) http:\/\/www.ce-mark.com\/Rohs%20final.pdf<tr><td style=text-align:center><p class=MsoNormal><span style=font-family:arial,sans-serif;font-size:10pt>No Logo Applicable<\/span><td>CB for IEC 62368-1:2014 (Second Edition)<tr><td style=text-align:center><img alt=\"User-added image\" src=\"https:\/\/cs.globtek.info\/servlet\/rtaImage?eid=a17a000000GoB0k&feoid=00Na0000009rTs5&refid=0EMa0000000Luf9\"><\/img><td><tr><td style=text-align:center><p class=MsoNormal><span style=font-family:arial,sans-serif;font-size:10pt>No Logo Applicable<\/span><td>IEC 60335-1:2010+A1+A2<tr><td style=text-align:center>\u00a0<img alt=\"User-added image\" src=\"https:\/\/cs.globtek.info\/servlet\/rtaImage?eid=a17a000000GJA0K&feoid=00Na0000009rTs5&refid=0EMa0000000Mc1v\"><\/img><td>WEEE: Complies with EU 2012\/19\/EU (http:\/\/ec.europa.eu\/environment\/waste\/weee\/index_en.htm) Mark is on the label or Molded in the case<tr><td style=text-align:center><img alt=\"User-added image\" src=\"https:\/\/cs.globtek.info\/servlet\/rtaImage?eid=a17a000000Gn5pF&feoid=00Na0000009rTs5&refid=0EMa0000000MU9b\" style=\"color:#333;font-family:sans-serif,arial,verdana,trebuchet ms\"><\/img><td>CHINA SJ\/T 11364-2014, China RoHS Chart: http:\/\/www.globtek.com\/pdf\/F-GT-DJD-8.4.1-006%20China%20RoHS%20Declaration%205-20-22.pdf<tr><td style=text-align:center>\u00a0<img alt=\"User-added image\" src=\"https:\/\/cs.globtek.info\/servlet\/rtaImage?eid=a17a000000UPZxX&feoid=00Na0000009rTs5&refid=0EMa00000004huD\"><\/img><br>\u00a0<td>Efficiency: complies to section 301 of Energy Independence and Security Act (EISA) complies with Energy Star tier 2 (North America), ECP tier 2 (China), MEPS tier 2 (Australia), Code of Conduct (Europe)<tr><td style=text-align:center><img alt=\"User-added image\" src=\"https:\/\/cs.globtek.info\/servlet\/rtaImage?eid=a17a000000Gmcl3&feoid=00Na0000009rTs5&refid=0EM0c000000O0uw\"><\/img><td>Indoor Use Only - Mark is on the label or Molded in the case<tr><td style=text-align:center><img alt=\"User-added image\" src=\"https:\/\/cs.globtek.info\/servlet\/rtaImage?eid=a170c00000QviVY&feoid=00Na0000009rTs5&refid=0EMa0000000MY3Y\"><\/img>\u00a0\u00a0<td>Declaration \u0414\u0421 \u2116 \u0415\u0410\u042d\u0421 N RU \u0414-US.\u041a\u041001.\u0412.10453_19 Custom Union of Russia, Belarus and Kazakhstan http:\/\/www.globtek.com\/redirect\/?loc=gost-certificate-eac-declaration<tr><td style=text-align:center><br><img alt=\"User-added image\" src=\"https:\/\/cs.globtek.info\/servlet\/rtaImage?eid=a17a000000Gosd0&feoid=00Na0000009rTs5&refid=0EMa0000000LuZa\"><\/img>\u00a0\u00a0<td>CE Certification<tr><td style=text-align:center><img alt=\"User-added image\" src=\"https:\/\/cs.globtek.info\/servlet\/rtaImage?eid=a170c000012PRot&feoid=00Na0000009rTs5&refid=0EM0c000001EHjp\"><\/img><td>RCM certificate SAA-152394-EA; Australia and New Zealand Regulatory Compliance, Mark (http:\/\/rcm.standards.org.au\/rcmfaq\/rcmfaq.htm<tr><td style=text-align:center>No Logo Applicable<td>CB report IEC 60601-1: 2005 + CORR. 1 (2006) + CORR. 2 (2007) and or EN 60601-1:2006 3rd Edition including 2MOOP requirements<\/table><tr class=section><th colspan=2>Popular Products (Stock items)<tr><td colspan=2><table id=products class=\"bordered border-lite\"><thead><tr><th>SKU<th>Volts Out<th>Current Out (Amps)<th>Connector<th>RFQ<th>Sample Request<tbody><tr><td>1398831<td>5.0<td>2.0<td><td><button class=rfqselect name=relre_comment value=1398831 data-rfqmessage=\"Please send me more information about SKU 1398831\\n\\nMy special requirements:\\n\\nOutput connector Notes if any:\\n\\nMy Estimated Annual usage and immediately need quantity is:\\n\\n\">RFQ<\/button><td><button class=rfqselect name=relre_comment value=1398831 data-rfqmessage=\"Please send a sample of SKU 1398831\\n\\nMy special requirements:\\n\\nOutput connector Notes if any:\\n\\nMy Estimated Annual usage and immediately need quantity is:\\n\\nApplication (required, if not filled in we will get in touch to follow up):\\n\\n\">Sample Request<\/button><\/table><\/table><\/div><\/div><\/div><\/article><\/div><div id=bottom><section id=rfq><div id=rfi_form class=title>Request Info<\/div><div id=relre_rfq title=\"Request Info\"><form class=pre-verify id=relre_comment_form action=\/php\/qlead.php method=post onsubmit=\"return 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