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RUPTURE DISC SELECTION FORM
Fill out this form and we will contact you to check details and availability before we process your purchase. You can also contact us through the contact form on the site or by writing to
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CUSTOMER INFORMATION
Are you a new customer?
*
Yes
No
Company Name
*
Your answer
Contact Name
*
Your answer
Country
*
Your answer
E-Mail
*
Your answer
NEW RUPTURE DISC SELECTION
Tag n°
*
Your answer
Rupture Disc Quantity
*
Your answer
Rupture Disc Material
*
Your answer
Burst Set Pressure (and Unit of Measure)
*
Your answer
Burst Set Temperature (and Unit of Measure)
*
Your answer
Size (If the size is unknown, we can provide a flow calculation. Please, fill the section 2 form)
Your answer
Process Data
Will Gas/Steam or Liquid burst the Rupture Disc?
*
Gas Steam
Liquid
Required
Equipment Design Pressure (MAWP) and Unit of Measure
Your answer
What Max Operating Pressure the disc will see while in service? (and Unit of Measure)
Your answer
What Operating Temperature? (and Unit of Measure)
Your answer
Do you have information regarding the type of operating pressure?
Your answer
If cycling or pulsating, what is the Frequency?
Your answer
Will the disc see any Vacuum?
*
Yes
No
Will the disc see any Back Pressure?
*
Yes
No
If Yes, How Much? (Unit of Measure)
Your answer
Additional requirement on rupture disc
Is UD Mark (ASME VIII) required?
*
Yes
No
Is there a safety valve downstream the disc?
*
Yes
No
Is Non-Fragmenting design required?
*
Yes
No
Is a Sanitary Application?
*
Yes
No
Is an ‘Alarm sensor indicator’ or ‘burst sensor’ required for the bursting disc assembly?
*
Yes
No
Data required for Holder selection
Holder Quantity
Your answer
Holder Material
Your answer
Please, communicate more information regarding Flanges and Rating
Your answer
Please, communicate more information regarding Connection Type
Your answer
Note
Your answer
Attention!
- If the SIZE is unknown, we can provide a flow calculation. Please, fill the section 2 form.
- Is it a replacement? Please, provide previous rupture disc information in the section 3 form.
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