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Composite Hose S.T.A.M.P.E.D. Form
How to use this form:
1. Inform the customer you
will be using an application
format called S.T.A.M.P.E.D.
2. Ask the customer the
pertinent questions outlined
on the form, in sequence.
3. After completing the form,
ask the customer to confirm
their answers as you repeat
them, in sequence.
4. Submit the form for
quotation from Parker
Industrial Hose Division.
Email: indhosequote@parker.com
Fax: (440) 268-2122
For additional information,
contact Customer Service:
(866) 810-4673
Other considerations may help
to clarify application parameters:
1. Abrasion
2. Electrical conductivity
3. Environment
4. Flammability
5. Flow rate
6. Fluid velocity
7. Movement (type,
distance, frequency)
8. Ozone
9. Permeation (vapor
conveying hose)
10. Routing
11. Salt Water
12. Static electricity
13. Ultraviolet light
14. Vibration (frequency rate –
Hz, amplitude – “G” load)
Customer Information
Company: Contact:
Street Address:
City, State, Zip:
Office Phone: Cell Phone:
Fax: E-mail:
Size
I.D.: Length (OAL)*:
Inner Wire Material:
Outer Wire Material:
Temperature
Media Temperature Min. ºF/ºC: Max. ºF/ºC:
Environmental Temperature Min. ºF/ºC: Max. ºF/ºC:
Application
Type/Description:
Material/Media
Material Conveyed:
Pressure
Max Working Pressure (PSI):
Ends
End 1
Material: Termination Style/Size:
End 2
Material: Termination Style/Size:
Delivery
Quantity Required: Date Required:
Ship Via:
Special Brand/Other Requirements
NOTE: All composite hose assemblies
are tested to 150% of working pressure.
*NOTE: A characteristic of composite hose is elongation:
a) The length of hose ordered should be the overall length (OAL) including the end fittings. OAL measurements
should be from flange face to flange face, seat to seat, end of threads to end of threads, etc. In the
as-fabricated condition, after testing, the OAL should be within +5%/-2% of the specified OAL.
b) The maximum change in length at the maximum test pressure should not exceed 12% of initial length.
c) Because of elongation under pressure, contact Parker for applications where length-in-use is critical.
If in question, this data should be added to the purchase order.