Page 32 - GarlockFluidSealing2010

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Compression Packing Application Data Form
Customer_ ________________________________
Submitted by_ _____________________________
_________________________________________
_________________________________________
_________________________________________
Date_____________________________________
Phone_ ___________________________________
Fax_ ______________________________________
Email_______________________________________
Service Conditions
Shaft speed _ ___________________________ rpm
(or)___________________________________ fpm
Temperature_ _____________________________°F
(or)____________________________________ °C
Pressure_ _______________________________ psi
(or)____________________________________bar
Media (What is being sealed)_ _____________________________________
pH___________________
Equipment
Specify pump, valve, mixer, etc._ ____________________________________________________________
______________________________________________________________________________________
Shaft dia.______________________
Bore dia.__________________
Box depth_ ________________
General condition of equipment and environment_ ______________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Packing
What is presently being used?_ _____________________________________________________________
Any problems with this material?_ ___________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Comments______________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________