Application Engineering Assistance Form

Application Engineering Assistance Form

Please provide our engineers with all the available information. The better the information, the better the recommendation.

New Design Existing Design

Seal Type (select..one)

Static

Dynamic Reciprocating		Travel (Direction and Distance):
		Frequency:
		Friction:

Dynamic Rotary		RPM:

Dynamic Oscillating		Travel (Direction and Distance):
		Frequency:
		Friction:

Configuration (select..one)
Face		Face Plate Thickness:
		Gland/Groove Width:
		Gland/Groove Depth:
		Clearance Gap:
		Face Plate Material:

Rod		Rod Diameter:
		Gland/Groove Width:
		Gland/Groove Depth:
		Clearance Gap:
		Rod Material:

Piston		Piston Diameter:
		Gland/Groove Width:
		Gland/Groove Depth:
		Clearance Gap:
		Piston Material:

Other		Describe Configuration:
		Gland/Groove Width:
		Gland/Groove Depth:
		Clearance Gap:
		Material:

Can Gland/Groove be Modified?

Additional Seal Configuration Details:

Media/Fluid 1: Volume% or Concentration:
Media/Fluid 2: Volume% or Concentration:
Media/Fluid 3: Volume% or Concentration:
Media/Fluid 4: Volume% or Concentration:
Media/Fluid 5: Volume% or Concentration:

Additional Lubricants:

High Temperature: Units Time at Temp:
Low Temperature: Units Time at Temp:
Operating Temperature: Units Time at Temp:

High Pressure/Vacuum: Units Time at Pressure:
Low Pressure/Vacuum: Units Time at Pressure:
Operating Pressure/Vacuum: Units Time at Pressure:

Estimated Component Life-span:

Estimated Quantity of Seals Required:

Type of Seal Currently In Use:
Dimensions/Size of Seal Currently In Use:
Material of Seal Currently In Use:

Description of Current Failure:

Additional Application Details/Concerns:

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