Dixon Valve 25 TON RAM SEC09 Sample Forms User Manual
Page 2
DIXON HOLEDALL TYPE
PERMANENTLY ATTACHED COUPLING TEST
ENGINEERING REPORT No. ___________
SUBJECT:
HOSE:
WORKING PRESSURE ______
TEST PRESSURE ___________
BURST PRESSURE __________
"A" END
"B" END
HOSE O.D. (free)
HOSE O.D. (over stem)
STEM
FERRULE
DIE
MULCORAM
PUSHER
FORCE (In PSI)
REDUCED LENGTH
HOSE WALL (free)
HOSE O.D. REDUCED
STEM – MEAN O.D.
HOSE WALL REDUCED
REDUCTION
REMARKS:
COUPLED BY _________________________________ DATE _____________________
APPROVED BY ________________________________
COMPANY ____________________________________
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