Project
* Date Entered
* Date Required
* Company
* Phone Number
* Fax Number
* City
* State
Select One
Alabama
Alaska
Arizona
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California
Colorado
Conneticut
Delaware
Florida
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Hawaii
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Illinois
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Maryland
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Texas
Utah
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Washington
Washington, DC
West Virginia
Wisconsin
Wyoming
* Zip
* Contact Name
* Contact Title
* Contact Email Address
* Contact Extension
* Alternate Contact Name
* Alternate Contact Extension
* Product Type
Rodshaft
Internal Face
Wiper
Vane
Piston
External Face
Bearing
Non-Seal
* Special Inspection Requirements
Yes
No
* Special Packaging Requirements
Yes
No
Equipment Model:
Components: Problems:
Existing Seal Discription Manufacturer
Problem Parts Available?
* Prototype Quantity Needed
Customer Part Number
* Quote Quantity
Yearly Useage
OPERATING PARAMETERS
* Temperature (F,C,K)
* Pressure (PSI, BAR, MPA)
* Stroke Length (inch,mm)
* Cycle Rate (min,hr,hz)
* Motion (Static, Reciprocating, Rotary or Oscillatory)
* Rotation (Deg., Rad.)
* Pressure Direction (Unidirectional,Bi-Directional)
* Velocity (Ft/min.-mm/min.)
* Vacuum (In.Hg., Tor)
* Direction of Rotation(Clockwise,C.Clkwse, Bi-Direct.)
* Media to be Sealed?
HARDWARE SPECIFICATIONS
Hardware Drawing if Available?
Diameter "A" (include min. and max. dimensions)
Hardness, Finish & Material
Diameter "B" (include min. and max. dimensions)
Hardness, Finish & Material
Diameter "C" (include min. and max. dimensions)
Hardness, Finish & Material
Diameter "D" Groove Width (Min & Max.)
Can Hardware be Changed?
Dia "E" Radial Clear.(min & Max Diameter)
F. Rod/Piston Step Height(min & Max. dimensions)
Run Out (TIR- Min. & Max)
Eccentricity (Min. & Max.)
Friction (LBS,OZ or GBS)
Breakout/Dynamic
Side Load (LBS Newton’s)
Torque (LBS,OZ or GBS)
Breakout/Dynamic
MIL-G-5514 O-Ring Dash #
Back Up Width
AS4716 O-Ring Dash #
Back Up Width
Expected Life (Cycles/Hrs./Yrs.)
Max. Leakage (Drops - CC/Mins.)
Gland Type?
Select One
Split
Open
Solid
Stepped
Metric (Yes or No)?
Most Critical Aspect
Contamination
Additional Notes
*