Describe Your Application For Engineering Recommendation

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Name:

Company:

Address:

City:

State:

Country:

Zip Code:

Phone:

Fax:

eMail:

Line Fluid:

Line Pressure:
(a) Inlet (psi):

(b)Downstream (psi):

(a-b)Maximum O.P.D. (psi):

Minimum O.P.D. (psi):

Line Fluid Temperature
Minimum (°F):

Maximum (°F):

Ambient Temperature:
Minimum (°F):

Maximum (°F):

Make/Model No. of valve now in service:

Cost:

Quantity:

Frequency:

Valve Type:

Mode of Operation:

Pipe Size (NPT):

Orifice Size:

Flow:
Cv:

GPM:

SCFM:

Maximum Allowable Pressure Drop (psi):

Body Material:

If Other, Please Specify:

Seal Material:

If Other, Please Specify:

Operating Voltage:

If Other, Please Specify:

Power Consumption (Watts):

Electrical Connection:

Agency Approval:

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