| 1. |
Application:
|
| 2. |
Operating
Conditions at Point of Installation:
Full Flow
By Pass
|
|
A.
Product:
B. Specific Gravity:
@
|
|
C.
Flow Rate:
GPM
D.
Temperature (F):
E. Pressure:
PSIG |
|
F.
Viscosity:
SSU CS CP @
(F) and SSU CS CP @
(F) |
|
G.
Contaminants: Solids (PPM):
(% WT.) Liquid?
% Volume |
|
H.
Description of Solids:
|
|
I.
Prevailing Particle Size Range:
|
|
J.
Description of Liquid:
|
|
K.
pH of Liquid or Product:
Type and % of Concentration:
|
| 3. |
Required
Performance Efficiency: |
|
A.
Desired Particle Retention (Micron):
B.
Max. Allowable Initial Pressure Drop:
PSID |
| 4. |
Mechanical
Design Conditions:
Simplex
Duplex
|
|
A.
Design Pressure:
PSIG
B. Design Temperature
(F):
C.
Corrosion Allowance:
|
|
D.
ASME Code Construction:
ASME Stamp: YES
NO
Comm. Std?
Other:
|
|
E.
Flow Rate:
GPM
F. Materials
of Construction:
|
|
G.
Inlet and outlet Connections: Size:
Flanged
Male NPT
Female NPT
Other:
|
|
H.
Other Connections
on Vessel: |
|
I.
Special Design Features:
|
|
Space
Limitations:
|
| 5. |
Accessory
Items: |
|
A.
Differential Pressure Gauge?
Direct Reading?
Non-Direct Reading?
Nugent Standard Single Pressure Gauge with 3 Way Valve?
|
|
B.
Manual Vent Valve?
(Vent Ring?
) C. Pressure
Relief Valve?
D. Manual Drain
Valves?
E.
Internal Epoxy Coating?
F. Air
Eliminator?
G. Cover Lifting
Device?
H.
Dumping Valve?
I.
Sight Flow?
|
| 6. |
Remarks:
|
|
Model
Number:
|
|
Drawing
Number:
|
| 7. |
Instructions:
Submit Quotation
to: Customer
Representative
Zone
|
|
Customer:
|
|
Representative:
|
|
|
