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Compression Packing
Expansion Joints
Mechanical Seals
Metallic Gaskets
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Other Static and Dynamic Seals
Miscellaneous
Services
Industries
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Compression Packing Application Data Form
General Information
Customer Name
Submitted By
Phone
Fax
Email
Date
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1931
1930
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1928
1927
1926
1925
1924
1923
1922
1921
1920
Service Conditions
Shaft Speed
Unit
RPM
FPM
Temperature
Unit
F°
C°
Pressure
Unit
PSI
Bar
Media (What is being sealed?)
pH
Equipment
Specify pump, valve, mixer, etc.
Shaft diameter
Bore diameter
Box depth
General condition of equipment and environment
Packing
What is presently being used?
Any problems with this material?
Comments
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.
×
Gasket Application Data Form
General Information
Date
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
From
For
Title
Fax
Company
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
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Austria
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Bahamas
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Belgium
Belize
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Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
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Bouvet Island
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British Indian Ocean Territory
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Congo, Republic of the
Cook Islands
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Ethiopia
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Mali
Malta
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Mayotte
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Montserrat
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Nigeria
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Northern Mariana Islands
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Panama
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Tuvalu
US Minor Outlying Islands
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United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Ã…land Islands
Phone
Fax
Email
Application
Choose Application(s)
Pipe Flange
Heat Exchanger
Manway
Compressor
Pumps - centrifugal /horizontal split case
Flue Duct
Valve Bonnet
Other
Other
Service Conditions
Maximum Temperature
Unit
°F
°C
Continuous Operating Temperature
Unit
°F
°C
Internal Pressure
Unit
PSIG
Bar
PSIG / bar
Continuous
Intermittent
Thermal Cycling / 24 hours
Vibration
Yes
No
Other (specify)
Bolts
Grade
Diameter
Length
Number
Chemical Compatibility
Media
pH
Concentration
Liquid or Gas
Flange (Standard)
Material
Size
Rating
Surface Finish (RMS)
Type
Phonographic
Concentric
Face (raised, flat, tongue & groove, etc.)
Flange (Non-Standard)
Material
I.D. / O.D.
Flange Thickness
Bolt Circle Diameter
Surface Finish (RMS)
Type
Phonographic
Concentric
Face (raised, flat, tongue & groove, etc.)
Comments
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.
×