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Work Order Authorization

 


Date
* Company
* First Name
* Last Name
* Phone
* Email

NOSHOK Product / Part No.: QTY:
Attached to:
Instrument Connection:    
Thread Size: Others:  
Specify Media Temperature: Specify Ambient Temperature:  
Please include drawings for unique assembly configurations.
(The upload form will open in a separate tab so you might return to this form to finish filling it out.)

Diaphragm Seal Filling Requirements
Fill Fluid
If Other, specify:
Glycerin is not recommended for use in vacuum appplications or with capillaries

Test Requirements
Verify Operation and Accuracy
Verify Operation and Accuracy at Set Point (SP) Provide SP Reading:
Verify Operation and Accuracy with Certification
Material Certification for wetted parts  
Others:

Additional Options
Diaphragm Seal Accessories    
If SS Armored Flexible Capillary, specify length:
Cooling Element    
Specify Stand-Off Specify Length

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