QUOTE REQUEST

CASING INSULATORS / SPACERS


Attn:

Fran

From:

Date:

Fax:

650 873-6952





Phone:

650 588-2241






Customer:

Contact:

City:

State:

Phone Number:

Fax Number:

Job Name:

Job Location:

Job Location:

Engineer:

Bid Date:

Award Date:


Information needed to quote CASING SPACERS:

Please fill out as much as possible to expedite an accurate quotation.


Size of carrier pipe:

Type of carrier pipe:

OD:

Carrier pipe Bell OD dimension:



Casing pipe type:

OD:

Wall thickness:





-or- ID:









Length of run:

-or- QTY of spacers:







Application:




Temperature Rated:

Carrier Weight when Full:



Spacer Band:

Configuration:



Anti-Floatation:


Multi:



End Seals Required? :

Pipe Linx Required?:





NOTES/ COMMENTS:


Spec’s avail:

Drawing req’d: