New Application Datasheet

CUSTOMER DATA:
Company Name:
Address:
City:
State: Zip Code:
Country:
Customers Ref or Project No.
Attention:
Title:
Dept or MS
Phone:
Fax:
E-Mail:

PRELIMINARY VALVE DATA:
Similar to (SBVE P/N):
Competitor:
PN: Quantity Required Now: Potential:

FLUID DATA:
Fluid Type:
Rate of Flow: (Units):
Max Working Pressure, psi:
If Unusual Fluid: Viscosity: Density: SG:
Temp Range: F Min: F Max: (std is -20 to +160F):
Cleaning Requirements:
Testing Required:
Other:

BODY DATA:
Material of Wetted Parts:
Seal Material Preferred:
Nominal Line Size:
Pipe Bore or Schedule:
Type of Connections:
Proof Pressure, psi:
Min. Burst Pressure, psi:
Code Requirements:
Configuration:
Special Mechanisms:

FLOW CONFIGURATION:
Describe if other than 2 way:

ACTUATOR:

None: Pneumatic: Electric: Hydraulic:

Power Available: psi or: volts: phase:

Must have return closed: (or open): if power lost? N/A:

Remarks:

Security Code:

Enter Code: