| SIZE: |
| I.D. |
|
| O.D. |
|
| Hose length (OAL or uncpld lgth) |
|
| Tolerances |
|
| TEMPERATURE: |
Of Material being conveyed
(High, Low, Ambient) |
|
Of Outside exposure
(High, Low, Ambient) |
|
| Intermittent? |
|
| Constant? |
|
| Sub-zero exposure? |
|
| APPLICATIONS: |
| Indoor and/or outdoor use |
|
| Intermittent or Continuor use |
|
Flexibility required
(min. bend radius) |
|
Movement
(Static, Vibrations, Flexing) |
|
| EXTERNAL CONDITIONS: |
Abrasion |
|
|
| Oil |
|
| Solvents |
|
| Acid |
|
| Ozone |
|
| Electrical/Static conductive |
|
|
|
|
| Cover |
|
| Flame Resistance |
|
| Non-contaminating materials |
|
| Hose currently in use |
|
| Current hose service life/failure description |
|
| Service life desired |
|
| MATERIAL(S) BEING CONVEYED: |
| Solids (size, description) |
|
| Gaseous (volatility, inert) |
|
| Liquids (flammability, causticity, acid/alkaline, solution/concentration) |
|
| Chemical names (Generid) |
|