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Flexivalve Questionnaire
1) About you:
Name, Surname (*)
Company (*)
Address
City
Postal code
Country
Phone Number (*)
Fax Number
E-mail (*)
2) Quantity
1
2
3
4
5
6
7
8
9
10
4) Type
Flexivalve
Flexivalve Monobloc
3) ND
80
100
150
200
250
300
4) Assembling
S
C
D
SR
CR
DR
5) Gasket
Yes
No
6) Control
Handle
Pneum. attuat.
electric motor
7) Accessories
a)
Clamp
SteriClamp
Quantity
0
1
2
b) STF quantity
0
1
2
c) STP quantity
0
1
2
d) SILCAP quantity
0
1
2
e) SPIGOT quantity
0
1
2
Height 1
Height 2
f) FERRULE quantity
0
1
2
8) Finish
inside mirror polish, outside satin
complete mirror polish
electro-polish
9) Additional information about working conditions:
a) Product
Capsule
Compresse
Granulato
Pellets
b) Granulometry
c) Fluidity
d) Temperature (°C)
e) Pressure (bar)
f) Vacuum( mmHg)
10) Further Comments
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