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Extrusion Fabrication Request
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Customer Contact Info
Contact First Name*
Contact Last Name*
Title
Company*
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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
If Other:
Other
Welding Code
ASME Section IX
API 1104
If Other:
Other
Radiography
ASME
API
Corrosion Allowance
NDE
Requirements
Surface Preparation and Painting
Special Dimensional Information
Special Machining Information
Other Information
Delivery Requirements
