Form. 7.2-1-1 Rev.
3/29/16
Advance Products & Systems, Inc.
P.O. Box 60399
Lafayette, LA 70596-0399
Phone: 337-233-6116 Fax: 337-232-3860
E-mail:
[email protected]Website: www.apsonline.com
Gasket Specification
Please fill out the appropriate sections of the following form in order for APS to manufacture your gasket correctly.
NOTE: If both Section A and B are completely filled out, only fill out the dimensions in section C which have an asterisk. If section B is not completed, then all
dimensions in section C need to be filled out.
SECTION A
Type of Connection Needed
Type of Gasket Needed
Flange Connection
_________
Type E
Full Face
Flange ID
_________
Type F
Raised Face
Valve ID
ANSI
AS
API
Seal:
Phenolic
Nitrile
Nitrile Coated Phenolic
Viton
G10
PTFE
Sleeve:
AWWA
Nominal Pressure Rating
Washer: Micarta
Micarta
Integral
G10
G10
Flange Standard
MSSP-44 DIN
Class
Gasket:
Other: ___________
EPDM
Note: Only G10 gasket material with EPDM or PTFE seals are NSF61 approved.
Valve Connection
SECTION B
Type of Material Needed Note: Check one type of material for
each item.
Steel
Mylar
JIS
BS
OTHER
Nominal Size
Stainless Steel
Other: _____________
Quantity of seals:
Other: ___________
Quantity of washers:
Single
Single
Duplex
Double
SECTION C Notes:
If flanges are not identical, you must specify both flange thicknesses for sleeve to fit properly; Standard Calculations: THK#1+THK#2+GASKET THK+0.0625 = standard
sleeve length. F Gasket O.D. is (BC-BH-1/16)
*ACTUAL GASKET I.D.
ID
(important for the gasket to seal properly)
FLANGE O.D
BOLT CIRCLE
BOLT HOLE QTY
Company Name:
OD
BC
H#
BOLT HOLE SIZE
BOLT SIZE
SHOULDER BOLT
DIAMETER (if used)
SLEEVE LENGTH
(if custom length needed)
Signature:
BH
BS
SHO
SL
Note: For raise face flanges please
add the raise face thickness to the
flange thickness when entering flange
thicknesses below
FLANGE#1
THK#1
THICKNESS
FLANGE#2
THK#2
THICKNESS
Date:
Disclaimer: This version may not be the most current revision. Please visit www.apsonline.com to verify that you are utilizing the most current revision.