Note: Due to the wide variety of products manufactured by Plast-O-Matic, 
      not all of the information below is applicable for each product.

Name:     

Company: 

Address: 

City:     State:   Zip Code: 
 
Country: 
 
Phone #:   Fax #: 

Email:   

 

S = System Piping Size & Material:  

P = Product Desired:  
                                                  
E = Est. Yearly Usage:    One time Order: YES   NO    Qty:

C = Cv Flow Factor or Orifice Size: Cv     Orifice Diameter


P = Liquid Pressure: Inlet Max:   Min:    Outlet(Back)    Vacuum    Set Pressure 
 
O = Operation Style: 2-Way   3-Way;   Normally Open   Normally Closed;   Direct Acting    Pilot;   Air   Electric   

M = Media and Concentration:   %


V = Volume of Flow: GPM    LPM    SCFM 
         Pressure Drop () acceptable to achive flow PSI

A = Ambient Temperature: °F    °C     Maximum 

L = Liquid Temerature:   °F    °C     Maximum 
 
V = Valve Body:    & Seal Material: 
 
E = Electrical Specifications:    Voltage    A/C   D/C

S = Special Note (ie.cycle rate) Budgetary Price Range: 
    
Comments/Requests:


     

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