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PROJECT DESCRIPTION:
Date (DD/MM/YYYY):
/
/
Nominal Pipe size:
Actual Pipe ID:
Upstream Flange Configuration:
Downstream Flange Configuration:
Pipe Material:
Service Pressure Rating:
Design Pressure Rating:
System Hydrotest Pressure:
Face-to-Face Dimension Required:
Pipe Lining:
VALVE ORIENTATION
Horizonal Pipe
Vertical Pipe
Other Origination, specify:
Operator
Pneumatic
Electric
Hydraulic
Gear Operator
Handwheel
Chainwheel
CYLINDER
Air
Available Air Pressure:
Estimated:
Confirmed at site:
Hydraulic
Available Pressure:
Estimated:
Confirmed at site:
Available Volume:
Double Acting:
Fail Safe Required:
Fail on Loss of Air
Open
Close
Last
Fail on Loss of Electrical
Open
Close
Last
Fail-Safe System w/Accumulator
Filter/ Regulator
Solenoid
Voltage:
Phase:
Other Accessories:
ELECTRIC MOTOR
Voltage:
Phase:
3
Single
Hz:
Electric motor valve actuators are available with
many options.
Minimum information required to provide price:
Differential Pressure.
PREFERRED VALVE TYPE
Dual
Rotary Disc
Slimline
Knifegate
Free Flow
Dashley
Pinch
Air Release
Non Return Wafer Pump Protection
Flo-Stop High Pressure
Other, specify:
Preferred Wetted Parts Material:
Preferred Non-wetted Parts Material:
Preferred Seat Material:
Service Mode:
On
Off
Min Close Time:
Max Close Time:
Modulating:
Yes
No
Flow rate:
Normal
Max
Min
MEDIA
Liquid
Corrosive
Non corrosive
Clear
Solids
Type:
% by Volume:
Particle Size:
Chemical Makeup
Abrasive/Slurry Material:
Particle Size:
Compacting:
Angle of Repose:
Media Temperature
Normal:
Design:
Media Velocity:
Special Media Considerations:
VALVE MATERIALS OF CONSTRUCTION
Flanges:
Gate:
Body Liner:
Seat:
Packing:
Ball:
Sleeve:
* Your Name:
* Company:
* Phone:
Fax:
* Email:
Address:
* City:
* State:
Zip Code:
* Country:
