FLODAR - Check / Relief Valve Design Request Form

Check / Relief Valve Design Request Form

Please fill in the data pertinent to your application on this form and send to
Flodar Fluid Power Fittings.

Name of Company:	*	Date:	*
Address (line 1):	*	Phone:	*
Address (line 2):	*	Fax:	*
City:	State: Zip: *	Email:	*
Please Contact: *

Valve Function: Check Relief

Fluid Description: *

Fluid Viscosity: *at: *°F

Fluid Temperature:
    Max: *°F
    Min:   *°F Fluid Flow Rate:
GPM: *Max.

Fluid Pressure:

   Cracking / Relief Pressure: *   ± *P.S.I.

   Operating Pressure: *P.S.I.

   Maximum Inlet Pressure: *P.S.I.

   Maximum Back Pressure: *P.S.I.

   Pressure Drop: *P.S.I. @ *GPM
                           *P.S.I. @ *GPM
                           *P.S.I. @ *GPM
                           *P.S.I. @ *GPM

Allowable Leakage:
    Foward Flow: *@ *PSI
    Reverse Flow: *@ *PSI

Valve Geometry:     Straight 45° Elbow 90° Elbow Tee Cross


Raw Material:     Steel Stainless Steel Brass

Description of End Connections:
    A: *
    B: *
    C: *
    D: *

Flow Checked /Relieved To: *(A, B, C, or D)

SAE Standard Reference:   *

Additional Requirements:
*

Finish:
     Zinc & Dichromate
     Zinc & Clear Chromate
     Black Oxide
     Other (Please Specify)     *

Special Markings (in additon to flow arrow & Flodar logo:
*

Quantities:
    Estimate Annual Usage: *
    Order Quantity: *

Additional Comments:
*

Verification Code:
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If you would prefer, you can PRINT this form and
MAIL it to Lube Devices, Inc.
1864 Nagle Avenue., P.O. Box 1810, Manitowoc, WI 54221-1810 - or
FAX it to 920-684-7210 - or
TELEPHONE us at 920-682-6877

1864 Nagle Avenue., P.O. Box 1810 Manitowoc, WI 54221-1810 Phone: (920) 682-6877 FAX: (920) 684-7210 http://www.lubedevices.com
Division of Lube Devices, Inc. http://www.hydra-tool.com	Division of Lube Devices, Inc. Home Page

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Valve Function:	Check Relief
Fluid Description:	*
Fluid Viscosity:	at: °F
Fluid Temperature: Max: °F Min: °F		Fluid Flow Rate: GPM: *Max.
Fluid Pressure:
Cracking / Relief Pressure: * ± *P.S.I.
Operating Pressure: *P.S.I.
Maximum Inlet Pressure: *P.S.I.
Maximum Back Pressure: *P.S.I.
Pressure Drop: P.S.I. @ GPM P.S.I. @ GPM P.S.I. @ GPM P.S.I. @ GPM
Allowable Leakage: Foward Flow: @ PSI Reverse Flow: @ PSI
Valve Geometry: Straight 45° Elbow 90° Elbow Tee Cross
Raw Material: Steel Stainless Steel Brass
Description of End Connections: A: * B: * C: * D: * Flow Checked /Relieved To: *(A, B, C, or D)
SAE Standard Reference: *
Additional Requirements: *
Finish: Zinc & Dichromate Zinc & Clear Chromate Black Oxide Other (Please Specify) *
Special Markings (in additon to flow arrow & Flodar logo: *
Quantities: Estimate Annual Usage: * Order Quantity: *