Page 52 - GOODYEAR RUBBER PRODUCTS 1-866-711-4673 Webstone Valves

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T H I S S P AC E F OR D E S I GN E R / E NG I N E E R A P P ROV A L

Job/Customer ________________________________ Date _____________________ Contractor__________________________________________

Model Specified_______________________________ Qty ______________________ Approved By________________________________________

Designer/Engineer_____________________________ Date _____________________ Contractor’s PO #____________________________________

Submitted by _________________________________ Date_____________________ Other______________________________________________

Teflon® is a registered trademark of Dupont.

T H I S S P AC E F OR D E S I GN E R / E NG I N E E R A P P ROV A L

Job/Customer ________________________________ Date_____________________ Contractor__________________________________________

Model Specified_______________________________ Qty ______________________ Approved By________________________________________

Designer/Engineer_____________________________ Date _____________________ Contractor’s PO #____________________________________

Submitted by _________________________________ Date _____________________ Other______________________________________________