Check Valve Specification Form Your CompanyCompany Name: Address Street Address City State / Province / Region ZIP / Postal Code Contact Person:* E-Mail Address: Telephone:PhoneMounting Detail (check appropriate box) Flanged (end of line) Slip On (end of line) Slip In (Inline) Slip In Flanged Style (Inline) SizeNominal Pipe Size Pipe O.D. (Inches)Pipe I.D. (Inches)Flange Pattern (If applicable) Flow RateInlet Pressures - Feet of WaterMinMaxBack Pressures - Feet of WaterMinMaxFlow Rates (GPM)MinMaxSubmerged Condition Yes No Service ConditionsProvide all known data on application and installation detailsProvide all known data on application and installation detailsFlow Conditions Wave/Tidal Currents Diffuser Other Be specific in describing Flow Conditions:Be specific in describing Flow Conditions:
