Questionnaire for selection of the correct type of hose

                                           

The more detailed the description of the type of hose you require, the more easily we can make you the right offer from

among our approx. 620 hose types in diameters from DN 50 mm ( 2") to DN 5080 mm (200").

        Yes = O ; No = O

1,0

MEDIUM

/ What will pass through the hose ?

     

1,1

Gas ? O or Air ? O

 

1,2

Powder ? O or Granulate ? O

1,3

Liquid ? O

1,4

Chemically aggressive ?

Yes ? O or No

     

1,5

For what purpose ? See pages 23, Column A

                                 

2,0

TEMPERATURE

( if no safety margin is indicated, we add on a safety margin )

2,1

   

C

C = Fx 0,56 -18 ; Constant temperat.

2,2

   

C

Peak temperature


3,0

PRESSURE / 1 mbar = 10 mm WC = 100 Pa (Pascal)

3,1

+

 

mbar

overpressure, at what diameter ?

 

 

mm

 

3,2

-

 

mbar

vacuum pressure, at what diameter ?

 

mm

Vacuum pump ? O or Ventilator ? O


4,0

DIAMETER

   

Quote only internal diameter of a hose ( 1" = 25,4 mm )

4,1

   

mm

Please list all required diameters

 

4,2

   

mm

or indicate smallest + largest diameters


5,0

For BELLOW EXPANS.JOINTS + EXPANS.BELLOWS only

5,1

   

mm

Maximum length

 

and

5,2

 

mm

Minimum length

5,3

                           

Vertical ? O or horizontal fitting ? O


6,0

INTERESTED PARTY / CLIENT / CUSTOMER

Date

6,1

   

Company

                   

6,2

   

Person to contact

               

6,3

   

Town

 

|

       

6,4

Adress

 

6,5

   

Phone

 

|

       

6,6

Fax

 

CLIP-LINE

Schlauch-Technik + Schalldmpfung GmbH

               

Phone + 49 - 209 - 6 000 260

         

PB: 200 150, D-45 836 GELSENKIRCHEN

             

Fax ..- 6 000 550

 

Items 7,0 + 8,0 will be completed by CLIP-LINE !

                           

T ( in 7,0 + 8,0 ) = hose type no., see pages 14 + 24, Column 1 !


7,0

Price - Quotation 1

T

 

Nr.

       

8,0

Price - Quotation 2

T

7,1

                   

Hose type

 

8,1

             

7,2

                   

Quantity x unit length

8,2

             

7,3

                   

Delivery time ex works D.

8,3

             

7,4

                   

List price

 

8,4

             

7,5

                   

Price factores.See pag.13

8,5

             

7,6

                         

8,6

             

7,7

                         

8,7

             

7,8

                         

8,8