Page 39 - CorrugatedCatalog110913Rev8LR

SPECIFICATION SHEET
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Instructions: To place an order or request a quotation, please complete Section I. If you need assistance in specifying an
assembly, complete Section II as well as the “End Fittings” portion of Section I. When completed, fax this form to Hose Master
at (216) 481-7557 or email it to insidesales@hosemaster.com.
Customer:
Contact: Date:
Phone: Fax: Email:
Section I Specifcation Information
Request Quote: (or) Place Order P.O.#
Quantity: Date Required:
Hose (type and diameter): Length (inches): Live Length / Overall Length
Circle One
End Fittings (type and size for both ends)
End #1 Size: Type: Material:
End #2 Size: Type: Material:
Liner Required: Yes No If “Yes,” Liner Material:
Special Fabrication:
Accessories:
Section II Application Information
Please provide the following information. Be sure that the answers are in the unit of measure stated on the form.
If necessary, convert from a different unit of measure. Where appropriate, we have included the assumptions that
will be made if an answer is not given.
Application Drawing: (sketch the installation and include all dimensions and motions of hose during application)
Size (inches): (In the event the fttings or hose have different sizes, include all sizes and show on the application drawing)
Temperature: Media: Min. °F. Max. °F. Environment: Min. °F. Max. °F. (Assumption is 70° F. for all)
Media: (Assumption is the media is compatible with all available materials)
Max. Pressure (psi): Fluctuations None / Pulsating / Shock (Assumption is nominal pressure, no fuctuations)
Circle One
Max. Velocity (feet/second): (Assumption is velocity is too slow to affect performance)
Type of Motion (From drawing above): Static / Constant / Vibration (Assumption is static)
Circle One
800 - 221 - 2319 • www. hosemas t e r. com