Advanced Valve & Instrument, Inc.
413 B Page Place Road # 1, Statesboro, GA 30458 / PO Box 2853, Statesboro, GA 30459
Phone (912) 764-7028 / Fax (912) 764-5938 / Toll Free 800-284-2293

MANUAL VALVE WORKSHEET
 
 
 
Company:
 
Name:
 
Phone Number:
 
E-mail:
 
Contact Information:
 
 
 
Pipe Size:
 
Piping or Body Material:

If other, please list:
 
Pressure:
psig nominal     psig max    Vacuum in/HG
 
Temperature:
F nominal     F max
 
Media:
(if steam, please note if saturated or super heated)
 
Suspended Solids
%
 
Specific Gravity:
 
I prefer the following valve
for this application:
 
Will any other medium be used for cleaning this product, i.e. steam, acid etc? Yes No
  If yes, please list media:          Temperature: F max
  Max Pressure  psig or note if under vacuum inches HG
   
  Please list any special service conditions below which we should know, i.e. Oxygen Cleaning, or list any
previous problems with valves in this installation, etc.
 

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