PLIDCO® Flange + Repair Ring
Order Information Form
* = required field
Date
Customer
Contact Person
*
Contact Phone
*
Final Product Destination
*
E-mail
*
Temperature
*
Flange+Repair Size
Working Pressure
*
Max Design Pressure
*
Flange Content
Packing Type
Flange O.D.
Flange (1) Thickness
Gap
Flange (2) Thickness
Circumference
Flange Type
Bonnet
Run
Other
Flange Face Type
RF
FF
RTJ
LJ
Other
Pressure Class
150#
300#
400#
600#
Other
Underwater Usage?
Depth
Installation:
Vertical
Horizontal
Vents Required (Size/#)
Sealant Type
Provided Volume Required
Anode Required
Plated Studs & Nuts
White Marine Epoxy
Extra Studs & Nuts
Hinges Required
Alignment Tabs
Extra Packing
Vent Covers
Special Materials Required
Material Certs Required
Special Tests Required
Quantity Required
Delivery:
Standard
PPT
Remarks
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