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Extrusion Questionnaire
Please provide the following General Information (* = required)

Company Name *
Contact Name *
Title *
Street Address *
City *
State *
Zip *
Customer Phone *
Email *
Fax

General Information:

Due Date
Application
Line Size(s)
Line Content
Material Requirements
Quantity of Headers
Length
Quantity of Outlets
Size of Outlets

Design Conditions:

Design Code
Design Factor
Design Pressure
Test Pressure
Design Temperature
Heat Treatment
Length of Hydrotest
1 2 4 8 24    Other  
Welding Code
ASME Section IX API 1104    Other  
Radiography
ASME API
Corrosion Allowance
NDE Requirements
Surface Preparation and Painting
Special Dimensional Information
Special Machining Information
Other Information
Delivery Requirements