Services

Service Condition Sheet

From :

Title :

Company :

Phone No:

Fax No :

E-Mail :

Date :

Page : 1 of

Drawing Attached :

Yes :

No :

Application

Pipe Flange

Pumps-centrifugal / Horizontal split case

Heat Exchanger

Flue Duct

Manway

Valve Bonnet

Compressor

Other :

Chemical Compatibility

Media :

Concentration :

Ph :

Liquid :

Gas :

Service Conditions

Water :

Oil :

Gas :

Ozone :

FDA :

Maximum Temperature :

F

Internal Pressure :

PSIG

Thermal Cycling :

/ (24 Hours)

Continuous Operating Temperature : F

PSIG :

Continuous

Intermittent

Vibration :

Yes

No

Other (Specify):

Flange:

Standard

Material :

Size :

Rating :

Surface Finish :

RMS

Face :

(Raised, Flat, Tongue & Groove, ect.)

Non-Standard

Material :

ID / OD :

ID OD :

Flange Thickness :

Bolts :

Diameter :

Number :

Grade :

Lenght :

Surface Finish :

RMS

Face :

(Raised, Flat, Tongue & Groove, ect.)

From :
Title :
Company :
Phone No:
Fax No :
E-Mail :

Pipe Flange	Pumps-centrifugal / Horizontal split case
Heat Exchanger	Flue Duct
Manway	Valve Bonnet
Compressor	Other :

Maximum Temperature :	F
Internal Pressure :	PSIG
Thermal Cycling :	/ (24 Hours)

Continuous Operating Temperature : F
PSIG :	Continuous	Intermittent
Vibration :	Yes	No

Material :
Size :
Rating :
Surface Finish :	RMS
Face :		(Raised, Flat, Tongue & Groove, ect.)