If you would like a copy of the iinformation you have supplied for your records, please print this page before submitting (file > print >).
Date:
Customer:
Contact Person:
Contact Phone:
Final Product Destination:
E-mail:
Temperature:
Flange+Repair Size:
Working Pressure:
Max Design Pressure:
Flange Content:
Packing Type:
Flange O.D.:
Flange (1) Thickness:
Gap:
Flange (2) Thickness:
Circumference:
Flange Type:
Bonnet
Run
Other:
Flange Face Type:
RF
FF
RTJ
LJ
Pressure Class:
150#
300#
400#
600#
Underwater Usage?
Depth:
Installation:
Vents Required (Size/#)
Sealant Type
Provided Volume Required
Anode Required
Plated Studs & Nuts
White Marine Epoxy
Extra Studs & Nuts
Hinges Required
Alignment Tabs
Extra Packing
Vent Covers
Special Materials Required
Material Certs Required
Special Tests Required
Quantity Required:
Delivery:
StandardPPT