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2 R F0 - Divers Supply, Inc.

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B<br />

C<br />

D<br />

E<br />

F<br />

Umbilicals<br />

Umbilical Termination Form<br />

Total Length of Diver’s Gas Hose _____________<br />

Surface End Diver’s End<br />

Surface End Tail Length Termination<br />

A. <strong>Divers</strong> Gas Hose _________ __________<br />

B. Pneumo Hose _________ __________<br />

C. Comm Wire _________ __________<br />

D. Poly Rope _________ __________<br />

E. Video Cable _________ __________<br />

F. Hot Water Hose _________ __________<br />

G. _____________ _________ __________<br />

H. _____________ _________ __________<br />

* All surface end tail lengths measured from surface end of diver’s<br />

gas hose<br />

A<br />

Type of Umbilical<br />

Taped (33HB diver’s breathing gas member)<br />

Taped (FLT06 diver’s breathing gas member)<br />

Twisted<br />

(circle one)<br />

Diver’s End Tail Length Termination<br />

A. <strong>Divers</strong> Gas Hose _________ __________<br />

B. Pneumo Hose _________ __________<br />

C. Comm Wire _________ __________<br />

D. Poly Rope _________ __________<br />

E. Video Cable _________ __________<br />

F. Hot Water Hose _________ __________<br />

G. _____________ _________ __________<br />

H. _____________ _________ __________<br />

I. D-Ring _________ from end of diver’s gas hose<br />

* All diver’s end tail lengths measured from diver’s end of divers gas hose<br />

Member Termination Part Numbers Termination Description<br />

1. Oxygen Female Reusable 375B Oxygen fitting for 3/8” hose<br />

99R Oxygen fitting for 1/4” hose<br />

2. Oxygen Female Barb ADAPTER-BRASS + 7N + (3x)J240 Oxygen fitting for 3/8” hose<br />

17 + 7N + J240 Oxygen fitting for 1/4” hose<br />

3. #6 JICF Reusable 375B-6 #6 JICF fitting for 3/8” hose<br />

4. #6 JICF Barb ADAPTER-BRASS-6 + 6BTX-B + (3x)J240 #6 JICF fitting for 3/8” hose<br />

5. #4 JICF Reusable 99J-4 #4 JICF fitting for 1/4” hose<br />

6. #4 JICF Barb 4797-4-4 + J240 #4 JICF fitting for 1/4” hose<br />

7. 4-Pin Female Connector RMG-4-FS + 2130B For comm wire<br />

8. Banana Plug MDP-RED + MDP-BLACK For comm wire<br />

9. Video System Termination VC-TERMINATION For video cable<br />

10. 1/2” MPT x Hose Barb C-42 + J240 1/2” MPT fitting for hot water hose<br />

11. Hot Water Female Q.D. BPHC-8-8F Female Q.D. fitting for hot water hose<br />

12. _______________________ _______________________________ _____________________________<br />

13. _______________________ _______________________________ _____________________________<br />

Please note that twisted umbilicals and FLT06 hose are not designed to be used with reusable fittings.<br />

© 2012 <strong>Divers</strong> <strong>Supply</strong>, <strong>Inc</strong>.<br />

D<br />

<strong>Divers</strong> <strong>Supply</strong>, <strong>Inc</strong>.<br />

Phone: 888-221-8120 • Fax: (504) 392-3920<br />

www.diverssupplyinc.com<br />

A<br />

B<br />

C<br />

E<br />

F<br />

63

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