Print Logo

SPEC POM VALVES Form

Print page to complete or download Word document here

 

Salesperson:­­­­­­­­­­­­­­­­­­­_______________________________________Date:____________________

 

Company ____________________________________Phone# _________________________

 

Customer ___________________________________Fax# ___________________________

 

S = System Piping Size & Material___________________________________________

 

P = Product Desired ________________________________________________________

 

E = Estimated Yearly Usage _______One Time Order Yes _ No _ Qty.____________

 

C = Cv Flow Factor or orifice size ______Cv _________ Orifice Diameter______

 

P =Liquid Pressure: Inlet Max __ Min __ Outlet (Back)___Vacuum ___ Set Pressure__

 

O = Operation Style: (2-way or 3-way, Normally Open/Closed, Direct Acting/Pilot, Air/Electric)______________________

 

M = Media and Concentration _______________________________    _____% Conc.

 

V = Volume of Flow _____GPM ____ LPM ____ SCFM ____Pressure Drop (delta P) acceptable to achieve flow _____________PSI Maximum Body Seal

 

A = Ambient Temperature _____ °F _____°C Maximum ______________

 

L = Liquid Temperature  _____ °F _____°C Maximum ______________

 

V = Valve Body and Seal Material _____________Body ____________________Seal

 

E = Electrical Specifications Voltage _________A/C ___D/C ____

 

S = Special Notes, (i.e. cycle rate) and Budgetary Price Range

 

 

 

Use additional space below for other pertinent information (Dimensions, Performance Requirements. Tolerances, System Diagram, Duty Cycle, Cycle Life, etc.)