Page 163 - GarlockFluidSealing2010

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Application Data Form
Date_ ______________
From_____________________________________
For: Garlock Metallic Gasketing Engineering
Title______________________________________
Fax 1-281-458-0502
Company_ ________________________________
Page: 1 of __________
Address___________________________________
Drawing attached
Yes
No
Fax No.___________________________________
Phone No._________________________________
E-mail Address_ ____________________________
Application
Pipe Flange
Pumps – centrifugal
/ horizontal split case
Heat Exchanger
Flue Duct
Manway
Valve Bonnet
Compressor
Other_ _________________________________
Service Conditions
Maximum Temperature_________________ °F/ °C
Continuous Operating Temperature_ ______ °F/ °C
Internal Pressure____________________psig
/ bar
PSIG
/ bar
Continuous
Intermittent
Thermal Cycling_ __________________/ 24 hours
Vibration
Yes
No
Other (specify)_ _______________________________________________________________________
Bolts
Grade_ __________________________________
Diameter__________________________________
Length___________________________________
Number___________________________________
Chemical Compatibility
Media_ __________________________________
pH_______________________________________
Concentration_ ____________________________
Liquid or Gas_ _____________________________
Flange
Standard
Non-Standard
Material__________________________________
Material___________________________________
Size_______________
Rating_ ____________
I.D.
/ O.D.__________________________________
Surface Finish_________________________RMS
Flange Thickness_ __________________________
Phonographic
Concentric
Bolt Circle Diameter_ ________________________
Face (raised, fat, tongue & groove, etc.)_ _______ Surface Finish_________________________RMS
________________________________________
Phonographic
Concentric
Face (raised, fat, tongue & groove, etc.)_ ________
_ ________________________________________
Comments:_ __________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
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