Riser-Type Weld+End
Order Information Form
* = required field
Date
Customer
Contact Person
*
Contact Phone
*
Final Product Destination
*
E-mail
*
Weld + End Size
Wall Thickness
Pipe O.D.
*
Pipe Material
Pipe Content
*
Packing Type
Length Between Seals
Operating Temperature
Working Pressure
*
Max Design Pressure
*
Pipe Anchored Pressure
Pipe Unanchored Pressure
Weld Application
Non-Weld Application
Horizontal Installation
Vertical Installation
Single Row of Clamp Screws
Double Row of Clamp Screws
Line Pressure
Prior to Welding
Line Pressure
During Welding
Line Pressure
After Welding
Underwater Usage
(Depth)
External Forces (Type & Magnitude)
Lifting Eyes
Anode Required
Plated Screws
White Marine Epoxy
External Thrust Screws
Extra Packing
Extra Clamp Screws
Time Frame Of Project
Special Body Material Required
Special Screw Material Required
Material Certs Required
Special Tests Required
Quantity Required
Standard Delivery
PPT Delivery
Remarks
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