Both sections form must be sent separately.
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Application Questionnaire
In order to provide you with a customer-specified offer we need the following information. Please check applicable boxes and add special items, technical specifications, dimensions and drawings.
4 How is the atmosphere or environment inside the tubes?
4.1 Clean
4.2 Dry or wet?
4.2.1 → Splash water
4.2.2 → Tubes flooded with water
4.2.3 → Tubes flooded with other liquid
4.2.4 → What other liquid?
4.3 Temperature range
4.4 Ex-area
4.5 Pressure
4.6 Vacuum
5 What are the properties of the inside surfaces?
5.1 Material
5.2 Inside coating
5.2.1 → type of coating?
4.2.4 Colour of inside surface
Company:
*Name: (Required field)
Dept.:
*Adress: (Required field)
*eMail: (Required field)
*Phone: (Required field)
Fax:
1 Tube dimensions and specifications
1.1 Inside diameter, mm
1.2 Tube length, m
1.2.1 → pipe open on both ends
1.3 Pipe-bends present
1.3.1 → number of pipe-bends
1.3.2 → pipe-bends with r = 1,5 x d
1.3.3 → pipe-bends with r = 3 x d
1.3.4 → pipe-bends with other radius (r = ?)
1.4 Number of 180° bends
1.5 Horizontal and/or vertical pipes
1.6 T-, Y-bends or bypass present
1.7 Compensator present
1.7.1 → difference to inside diameter (1.1), mm
1.8 Valve present
1.8.1 → type of valve
1.8.2 → smallest diameter at open valve, mm
1.9 Reducer present or similar change of tube diameter
1.9.1 → smallest diameter
1.9.2 → largest diameter
2 What shall be inspected?
2.1 Surfaces of tubes
2.2 Longitudinal welded seams
2.3 Circular welded seams
2.4 Cracks / faults
2.5 Weld reinforcement
2.5.1 → Is the expected height of excessive reinforcement exceptionally large?
2.6 Heat tinting
2.7 Rust / corrosion / pittings
2.8 Product tailings / dirt traps
2.8.1 → smallest inside diameter?
2.9 Completeness check
3 Which direction of view or optics is desired?
3.1 Direct view with wide angle
3.2 Direct view with fisheye
3.3 Zoom lens
3.4 Pan & Tilt
3.5 90° side view
Company:
*Name: (Required field)
Dept.:
*Adress: (Required field)
*eMail: (Required field)
*Phone: (Required field)
Fax: