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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 />
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