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PTFE O-Rings Catalog - CoorsTek

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<strong>CoorsTek</strong><br />

Engineering Action Request – Seals Division<br />

CUSTOMER DATA<br />

Company Name _________________________________________________________ Date Submitted __________________<br />

Address _______________________________________________________________ Date Required ___________________<br />

City, State, Zip, Country ___________________________________________________<br />

Telephone _________________________________ Fax ________________________ OEM INTERNAL USE<br />

Contact Person _____________________________ Title _______________________ Distributor EAR # ___________<br />

E-Mail _________________________________________________________________ Rebuilder Territory # ________<br />

Products Mfgd/Sold/Serviced ______________________________________________ Consultant Territory Mgr ______<br />

______________________________________________________________________<br />

APPLICAION DATA<br />

1. Is this applicaton: New Design Retrofit<br />

2. Pressure Direction: Unidirectional Bidirectional<br />

3. Temperature: Min. _____ Normal _______ Max. ______ °C °F<br />

4. Pressure: Min. _____ Normal _______ Max. ______ Bar PSI Proof______<br />

5. Media being sealed: ___________________________________________________________________________________<br />

6. If retrofit, please describe why customer wants to consider a new seal ____________________________________________<br />

___________________________________________________________________________________________________<br />

7. If this is a change, is there a source spec control drawing? Dwg # __________________________________________<br />

8. Disposition of existing parts: ____________________________________________________________________________<br />

HARDWARE DATA<br />

All Dimensions are in: Millimeters Inches<br />

+ _______________<br />

Groove: Dia ________________ - _______________ Finish _____________ Groove Height ____________<br />

+ _______________<br />

Groove: Width ______________ - _______________ Groove Sidewall Finish __________________<br />

Maximum Extrusion Gap: Radial ___________________ Diametral ________________<br />

1. Is hardware plated/coated? No Yes Specity _______________________________________________<br />

2. Is seal installation tooling required? No Yes Not Sure<br />

3. Can hardware design be changed? No Yes How? ________________________________________________<br />

___________________________________________________________________________________________________<br />

4. Reference design specifications: _________________________________________________________________________<br />

5. Indicate applicable hardware design requirements in sketch below while showing pressure magnitude and<br />

directions (with arrows)<br />

Please see following page for sketches<br />

6.20<br />

<strong>CoorsTek</strong>, Inc.<br />

El Segundo Operations<br />

2051 East Maple Avenue<br />

El Segundo, CA 90245<br />

+1.310.322.8030 Tel<br />

+1.310.640.0312 Fax<br />

plasticseals@coorstek.com<br />

www.coorstek.com

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