General Information
Pressure(s)
Working Pressure (Including Surges)
Burst Pressure
Suction or Vacuum Requirements
Velocity
Impulse
Ends & Fittings
Factory Applied Fittings:
Type of threads
Male/Female
Reusable/Nonreusable
Material for Fittings
Built-in Fittings / Ends: Beaded
Flanged
Rubber-Lined
Other
Cut to Length
Crimp Specs/Crimper (Hydraulics)
Delivery
Leadtime
Quantity
Stock/Nonstock
Special Print
Special Packaging
Other Information
Customer:
Date:
Customer #:
Ship To:
Bill To:
Telephone #:
Fax#:
Industrial Hose Inquiry/Recommendation
Size
ID
OD
Hose Length
(
OAL or uncoupled length)
Tolerances
Temperature
Of Material Being Conveyed
(
High, Low, Ambient)
Of Outside Exposure
(
High, Low, Ambient)
Intermittent?
Constant?
Sub-zero Exposure?
Application(s)
Indoor and/or Outdoor Use
Intermittent or Continuous Use
Flexibility Required
(
Min. Bend Radius)
Movement
(
Static, Vibrations, Flexing)
External Conditions: Abrasion
Oil
Solvents
Acid
Ozone
Electrical/Static Conductive
Oil Resistance: Tube
Cover
Flame Resistance
Non-contaminating Materials
Hose Currently in Use
Current Hose Service
Life/Failure Description
Service Life Desired
Material(s) Being Conveyed
Solids (Size, Description)
Gaseous (Volatility, Inert)
Liquids (Flammability, Causticity, Acid/Alkaline, Solution/
Concentration)
Chemical Names (Generic)
335
Appendix
C
Air & Multipurpose
General Purpose
Heavy Duty
Push-on
Chemical Transfer
Cleaning Equipment
Food
Transfer
Washdown
Marine
Material Handling
Abrasives
Bulk Transfer
Cement & Concrete
Mining
Petroleum
Aircraft Fueling
Dispensing
Dock
Transfer
Spray
Steam
Vacuum
LPG Delivery
Water
Discharge
Suction & Discharge
Washdown
Welding
Coupling Systems
Equipment
Appendix