RARITAN VALVE & AUTOMATION
- Request for Quotation -
Rev 3--7/25/2006

Valve & Actuator Data Sheet


SERVICE
Pressure:  
Temperature:  
Media
Flow:  
Describe Service:
       
Notes/Comments:
VALVE
Quantity:    
Size If Special:
Valve Type: If Other:
Preferred Materials of Construction
Body: If Other:
Trim (Ball, Disc, Plug): If Other:
Seat/Seal/Sleeve: If Other:
       
End Connections: If Other:
Pressure Class: If Other:
       
Operator: If Other:
       
Notes/Comments:
ELECTRIC OPERATOR DATA - Fill out if Electric Operator was selected above
Enclosure: If Other:
Voltage: If Other:
Control Options: If Other:
Other Options: Select all required
Heater & Thermostate: Position Feedback (4-20ma):
Brake: Local/Remote Control Selector:
Auxiliary Limit Switch(s): Qty: Mechanical Travel Stops:
Potentiometer: De-Clutch Handwheel Override:
       
Notes/Comments:
PNEUMATIC OPERATOR DATA - Fill out if Pneumatic Operator was selected above
Action:    
Air Supply: If Other:
Control Options: If Other:
Controls NEMA Rating:    
Other Options: Select all required
Limit Switch(s): Qty: Nema Rating:
Position Feedback (4-20ma): Nema Rating:
Mechanical Travel Stops:    
De-Clutch Handwheel Override:    
       
Notes/Comments:
REQUESTED BY
Name (required): Title:
Company:    
E-Mail (required): Fax:
Telephone:    
Address:    
City:    
State:    
Zip:    
       
Notes/Comments:
       
   

NOTE: A copy of this form will be e-mailed to you for your records.

 

Copyright 2006 Raritan Valve & Automation, Inc.. All rights reserved.
Revised: 07/26/06.