OIL SEAL DESIGN REQUEST SHEET

Name
E-Mail
Title
Phone
Company
Address
City
State
Zip

Reference No.: Application: Quantity: Drawing No.:

D1=Shaft Diameter: D2=Bore Diameter: B.D.=Bore Depth: 1= Shaft Chamfer: 2= Bore Chamfer: A1=Shaft Chamfer Length: A2=Bore Chamfer Length:

SHAFT	Diameter	Material	Finish	Hardness	Horizontal Vertical
BORE	Diameter	Material	Finish	Hardness
MOTION	Rotating Reciprocating Oscillating		Normal R.P.M. Max R.P.M.	Direction Clockwise Bi-Directional Counter Clockwise
			Shaft Runout (TIR)	Misalignment		Frequency of Rotation Continuous Intermittent
			Stroke Length	Cycles/Min	Special Operating Conditions
			Degrees of Arc	Cycles/Min
FLUID MEDIUM	Internal		Type Level Dry Mist Flooded
	External		Type		Recommendation
TEMP.	C F		Minimum Normal Maximum
PRESSURE	Normal P.S.I.			Maximum P.S.I.

(this is a non-functioning sample form only)

We can best help you in solving your sealing problems if you send a cross sectional drawing of the seal location. Using our experience, we can then suggest to you the best type and size of seal made form the most suitable material.