Please fill in all parts of this form. If data is unknown, mark “unknown”. The completed form will enable us to recommend the most appropriate valve for your application. Company Name * Address * City State Contact Name * Contact Phone * Contact Email * Estimated Quantity Now Yearly Target $ General Specifications Solenoid Valve Operator Valve Type Two Way Three Way Piped Exhaust Exhaust To Atmosphere Multi-Purpose Function - None -Normally OpenNormally ClosedDirectional ControlMulti-Purpose Electrical Connection ½” NPT conduit w/24” leads Grommet w/24” Leads DIN Connector Explosion Proof Process 1/8” NPT ¼” NPT PeterPaul standard valves are made with 430 stainless steel, Buna seals and molded coils. Check here if acceptable. Please note if other materials are desired. Pressure or Vacuum Maximum Operating Pressure PSIG Vacuum inches of Hg Media Being Handled Description Temperature Max ˚F Temperature Min ˚F Viscosity (If over No. 10 SAE oil or 100 SSU at 100 F) Check if Gas Lubricated Non-Lubricated Orifice Size CV Inlet Diameter Exhaust Diameter (for 3 Way only) Flow Rate Gasses SCFM for inlet pressure Of PSIG Outlet pressure PSIG Liquids SCFM for inlet pressure Of PSIG Outlet pressure PSIG Specific Gravity Voltage DC 12VDC 24VDC Other AC 120/60 AC 240/60 AC 24/60 AC Power consumption concerns? Yes No Duty Cycle Duty Cycle (energized continuously for more than 1 hour) Continuous duty (energized continuously for more than 1 hour) Intermittent duty (energized continuously for less than 1 hour) Max time energized Min time de-energized Life Expectancy Total Cycles per year Number of years Ambient Conditions Temperatures Explain location Max ˚F Min ˚F IP Approval Required Approval Options None UL CSA CE Other Submit
