SPEC POM VALVES Form

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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.)