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STAINLESS STEEL CORRUGATED HOSE & STRIPWOUND

STAINLESS STEEL CORRUGATED HOSE & STRIPWOUND

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<strong>STAINLESS</strong> <strong>STEEL</strong> <strong>HOSE</strong><br />

2.19 Enquiry data sheet<br />

Technical Information (Hose Specification Sheet)<br />

Instructions: To place an order or request a quotation, please complete section I.<br />

If you need assistance in specifying an assembly, complete Section II as well as the<br />

“End Fittings” portion of Section I. When completed, Fax: (617) 55 934 298 or<br />

Email: phf@hoseflex.com.au this form to Pacific Hoseflex<br />

Customer: _______________________________ Contact: _____________________________<br />

Date: __________________ Phone:________________________ Fax: ___________________<br />

Email: __________________________<br />

I. Specification Information<br />

Request Quote Yes / No circle one<br />

Place Order P.O.# ____________ Quote ref #________________<br />

Quantity: _________ Date Required:___________________<br />

Hose type: ___________ Diameter (mm): ____________ Length (mm):__________<br />

(Live Length / Overall Length) Circle One<br />

End Fittings (type and size for both ends)<br />

End #1: Size: ____________ Type: ____________________ Material: ____________________<br />

End #2: Size: ____________ Type: ____________________ Material: ____________________<br />

Liner Required: Yes / No Circle One If “Yes”, Liner Material: _________________________<br />

Special Fabrication: ____________________________________________________________<br />

Accessories:___________________________________________________________________<br />

II. Application Information<br />

Application Drawing: (sketch the installation and include all dimensions and motions of hose<br />

during application and any other considerations)<br />

Size (mm): __________ (in the event the fittings or hose have different sizes, include all sizes and show on the application drawing).<br />

Temperature: Media: Min. ____ºc Max. _____ºc Environment: Min. ____ºc Max. _____ºc<br />

(assumption is 21ºc for all)<br />

Media:__________________ (assumption is the media is compatible with all available materials)<br />

Max. Pressure (psi):_______ Fluctuations (None / Pulsating / Shock) Circle One<br />

(assumption is nominal pressure, no fluctuations)<br />

Max. Velocity (feet/second): __________________________<br />

(assumption is velocity is too slow to affect performance)<br />

Type of Motion (from drawing above): (Static / Constant / Vibration) Circle One<br />

(assumption is static)<br />

<strong>STAINLESS</strong> STELL <strong>HOSE</strong> 1 2 3 4 5

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