- To be used for new and replacement control valves

General Information

Date: Click or tap here to enter text.	Company: Click or tap here to enter text.

Contact Name(s): Click or tap here to enter text.

Email: Click or tap here to enter text.	Phone: Click or tap here to enter text.

Requested Delivery Date: Click or tap here to enter text.

Quantity: Click or tap here to enter text.

Tag number(s):	Click or tap here to enter text.

IF Replacing existing OR duplicating existing Control Valve complete the following section:

Serial Number(s) (From body and actuator): Click or tap here to enter text.

OR

FS Number(s): Click or tap here to enter text.

OR

Product Number(s): Click or tap here to enter text.

AND

Type of Control Signal (4-20mA, 3-15 PSI, Bus, Other?): Click or tap here to enter text.

List of Accessories (4-20 Feedback, Handwheel, Boosters, Trip, Solenoid): Click or tap here to enter text.

IF BOTH VALVE AND ACTUATOR SERIALS ARE NOT VERIFIED:

Type and Size of Actuator: Click or tap here to enter text.

Type, Size, Port, Material of Valve Body: Click or tap here to enter text.

New Control Valve Application complete the following section:

Valve Type (Rotary or Sliding Stem):	Click or tap here to enter text.

Fluid/Gas Type: Click or tap here to enter text.

Specific Gravity or Molecular Weight of Fluid: Click or tap here to enter text.

Line Size: Click or tap here to enter text.	Pipe Schedule: Click or tap here to enter text.

Shutoff Requirement (Class 4 Typical, Class 6 Tight, Class 2 not tight): Click or tap here to enter text.

ANSI Class (150, 300, 600, 900, 1500, 2500): Click or tap here to enter text.

End Connection Type (NPT, Flat Face, Raised Face, SWE, BWE): Click or tap here to enter text.

Material of construction if customer specifies: Click or tap here to enter text.

Minimum Condition:

Flow Rate: Click or tap here to enter text. Units: Click or tap here to enter text.

Upstream/Inlet Pressure: Click or tap here to enter text. Units: Click or tap here to enter text.

Downstream/Outlet Pressure: Click or tap here to enter text. Units: Click or tap here to enter text.

Normal Condition:

Flow Rate: Click or tap here to enter text. Units: Click or tap here to enter text.

Upstream/Inlet Pressure: Click or tap here to enter text. Units: Click or tap here to enter text.

Downstream/Outlet Pressure: Click or tap here to enter text. Units: Click or tap here to enter text.

Maximum Condition:

Flow Rate: Click or tap here to enter text. Units: Click or tap here to enter text.

Upstream/Inlet Pressure: Click or tap here to enter text. Units: Click or tap here to enter text.

Downstream/Outlet Pressure: Click or tap here to enter text. Units: Click or tap here to enter text.

Temperature: Click or tap here to enter text. Units: Click or tap here to enter text.

Fail Mode (Open, Closed or Fail Last Position): Click or tap here to enter text.

Type of Control Signal (4-20mA, 3-15 PSI, Bus, Other?): Click or tap here to enter text.

List of Accessories (4-20 Feedback, Handwheel, Boosters, Trip, Solenoid): Click or tap here to enter text.