500 VALLEY ROAD, RICHMOND, VA 23222
PHONE: (804) 321-3333  FAX: (804) 329-0112
QUOTATION REQUEST FORM
CUSTOMER INFORMATION
CONTACT NAME*:
TITLE:
COMPANY NAME*:
ADDRESS:
CITY,STATE,ZIP:
PHONE #:
FAX # :
E-MAIL*:
DUE DATE:
EQUIP NAME:
EQUIP NUM.:
QUANTITY:
   

MATERIAL INFORMATION
HEADS*:
SHELL*:
JACKET:
PIPE:
FLANGES:
PAINT:
INTERNALS:

SUPPORTS:
OTHER:
 
 
 
 
DESIGN INFORMATION
GENERAL
CODE:
CODE STAMP:    YES NO
ORIENTATION: HORIZ VERT
SUPPORTS- TYPE:
NUMBER: HEIGHT:
 
SHELL
DESIGN PRESSURE  INT:  EXT:
DESIGN TEMP: °F     °C
DIAMETER*: OD ID
LENGTH*:
CORROSION ALL.:
RADIOGRAPHY: FULL SPOT NONE
ADDITIONAL NDE:
MIN. THICKNESS: SPEC. GRAV.:
 
JACKET
JACKET TYPE:
DESIGN PRESSURE  INT:  EXT:
DESIGN TEMP: °F     °C
DIAMETER: OD ID
LENGTH:
CORROSION ALL.:
RADIOGRAPHY: FULL SPOT NONE
ADDITIONAL NDE:
MIN. THICKNESS: SPEC. GRAV.:
NOZZLE INFOMATION
DESC.
QTY.
SIZE
RATING
TYPE
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
REMARKS/COMMENTS