Page 163 - GarlockFluidSealing2010

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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