Technical Questionnaire

Your company information
Company
Address
City, State
ZIP, Country
Contact person *
Contact person's job function
Phone
Fax
E-mail *

	Variant 1	Variant 2
Flange
Type (DIN, ANSY, Non-standard)
Material
Surfache machining
Max. roughtness [µm]
Max. unevenness [µm]
Bolts
Size
Number
Quality
Torque [Nm]
Environmental data
Operating media
Concentration [%]
Operating pressure [bar]
Testing pressure [bar]
Operating temperature [°C]
Testing temperature [°C]
Gasket design used so far
Material
Material thickness [mm]
Gasket surface stress [MPa]
Special remarks (eyelet, etc.)
Are you satisfied with gaskets used so far?
Complaints
Additional information
Desired (allowed sealability - leakage rate [ml/min] or [mg/sm]
Dynamic oscillations and/or vibrations
Cycling temperature [°C] and pressure [bar]
Shock pressure [bar]
Health hazardous media
Sealing in food industry
Heat resistance
Controlled swell

Other remarks

Verification code *

Your company information