| |
| Name: |
* |
| Email Address: |
* |
| Company: |
|
| Telephone: |
|
| Fax: |
|
| Country: |
|
|
LIQUID |
| Type: |
(ex. Water, Oil, Sulfuric Acid etc). |
| Operating Viscosity if
known: |
|
| Specific Gravity if known: |
|
| AIR OR GAS |
| Type: |
(ex. Nitrogen, Air, etc.) |
| Specific Gravity if known: |
|
| PRESSURE |
| Maximum: |
(Specify Unit, ie. PSI, Bar or other) |
| Operating: |
(Specify Unit, ie. PSI, Bar or other) |
| Minimum: |
(Specify Unit, ie. PSI, Bar or other) |
| TEMPERATURE |
| Storage: |
Min
Max
(Specify Unit, °C or °F) |
| Operating: |
Min
Max
(Specify Unit, °C or °F) |
| FLOW RATE |
| Liquids: |
(GPM/LPM/Milliliters Per Min.) |
| Air/Gas: |
(SCFM / ACFM) |
| PIPE or DUCT |
Diameter:
(or LxW for duct) |
(Inches) |
| Pipe Material: |
(ex. PVC, Black Iro n, Stainless) |
| POWER / OUTPUT / DISPLAY |
| Power Available: |
|
| Output Needed: |
|
| Display: |
|
| ORIENTATION OF FLOW |
| Horizontal: |
|
| Vertical: |
|
| HAZARDOUS RATED |
| Yes: |
|
| No: |
|
| Quantity Needed: |
|
| Other requirements or comments, please include
aside: |
| |
|
|
