Project
:
Phone :
Location :
Email :
Client :
Date :
Tag Number :
Line No. :
Fluid Type :
Quantity :
FLOW CONDITIONS
Max
Norm.
Min.
Units
Gas flow rate
Liquid 1 flow rate
Liquid 2 flow rate
Inlet pressure
Outlet pressure or dP
Density (if available)
Inlet Temperature
Required Cv
BODY
ACTUATOR
Body type
Connection : Inlet
Connection : Outlet
Material
Special dimensions
Manufacturer / Model No. :
Type of Actuator :
Handwheel & Location
Actuator Orientation
Hazardous Area Certification
TRIM
POSITIONER
Trim type
Trim form
Trim material
Manufacturer / Model No. :
Inlet / Outlet signals
Filter & Regulator
OTHER
TESTS / CERTIFICATION
Shutoff class
SPL allowable (dBA)
Design pressure
Design Temperature
Hydrotests / API PSL
Material certification / class
Seal / packing
Painting (on body)
Comments :
Required Fields Denoted by
Red
Colour
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