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CUSTOMER's DATA FOR PUPTURE DISC SELECTION
Customer's ref for this Disc type
REQUIRED QUANTITIES FOR THIS DISC TYPE
Rupture Disc quantity (of the same type) ?
HOLDER quantity ?
Important Note: For tight and perfect surface mating, DISC must be placed between a HOLDER. Then, HOLDER "with disc inside" will be placed between customer's flanges. If DISC is directly placed between flanges, then a tight seating may not be achieved. (HOLDER is not replaced when DISC is ruptured)
Fluid (specify)
STATE (PHASE) OF FLUID AT RUPTURE
applicable state to be ticked (x)
RUPTURE CONDITIONS
Temperature °C
Operating conditions pressure (barg)
Rupture pressure (barg)
Static counter pressure (barg)
applicable state to be ticked (x)
DISC MATERIAL PREFERRED
applicable state to be ticked (x)
OTHER
IF FLANGE CONNECTION WILL BE USED:
Custmomer's flange size DN ?
Flange PN rating ?
Flange standard ASME / DIN ?
IF THREADED CONNECTION WILL BE USED:
Cusomer's thread size ( G") ?
if NPT stadard, NPT type ?
IF CLAMP CONNECTION WILL BE USED:
Customer's Clamp DN size ?
Tube "outer/inner diameter" (?/? mm)
Customer's note:
After sending this page, PLEASE FILL NEW PAGES FOR RUPTURE DISC REQUIREMENTS WITH DIFFERENT APPLICATION DATA You may fill and send all pages separately
customer informaitons
Customer's Company / Contact Person*
* required fields
Tel
E-mail*
Captcha Code*
 

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