BJSEAL ENGINEERING PVT.

LTD

BR1-350, Jai Ganesh Vision

Akurdi, Pune-411035
Maharashtra,India.

e-mail:sales@bjseal.com, www.bjseal.com

Tel: +91-20-2748 3060

Fax:+91-20-2748 7080

Mechanical Seal Application Request form (MSARF) for Catridge seals

Customer Details

Your Ref:

Company Name:

Date:

Contact Person:

Country

Address:

Telephone No.

e-mail ID

Fax No.

Equipment Details
Equipment Manufacturer

Model No.

Equipment identification Tag #

Serial No.

Shaft Speed (rpm)

Seal Design accroding to

API Piping Plan No.

Position of the seal

Seal Arragenment

Process fluid to be sealed

Suction Pressure

Pump can be modified?

Yes

No

Stuff. Box Pressure Bar/PSI

Discharge Pressure

Nature of the fluid danger/toxic

Yes

No

Type of Flush Fluid used

ph value

Flush is Available

Yes

No

Max Part. Size ppm/Micron

Concentration in %

Dry Running ?

Yes

Yes

Temparature Max C / F

Support Accessories

Does the fluid is crystalize ?

Yes

No

Zone

Temparture Class

Explosion Protection Type

Hazzad Type

Temparture Sub Class

Additional Info

Process Conditions

Atex Details

Dimensional Data Notes: following dimensional details of your existing seal is required to quote the right seal
Manufacturer Name
Shaft/Sleeve OD/Seal ID
Stuffing Box ID

Seal Part No.

d

Additional Info

d1

Stuffing box depth

l1

Stuffing Box OD Regisred d2

First Obstruction

l2

Pitch circle Dia (PCD)

d3

PCD Range Min. to Max.

Stuffing box Total OD

d4

Additional Info

Bolt Diameter

d5

Additional Info

No of Bolts

Bolt Size & Thread Type

Seal body Meterial

Sleeve Meterial

Seal Faces Inboard

Seal Faces Outboard

Elastomers Inboard

Elastomers Outboard

Additional Info

Seal Spring Meterial

Quench / Vent port Size

Flush / Drain Port Size

No of seal required

Flange Gasket Type

Addittional Information's if any

For Officail Use Only

Description

Qty

Price

Inquiry Ref.
Date
Delivery Period