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Required fields are bold.

Contact Information
Contact Name:
Company:
Project Name:
Address:
City:
State/Region:
Zip/Region Code:
Country:
Phone Number:
Ext.:
Email:
Tank Type:
Quantity:
General description
of entire order:
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Tank Dimensions
Please provide us with general desired capacity and/or approximate desired dimensions. Please include units.
Capacity desired:
Dimensions desired:
W:
X:
Y:
Z:
Overall height not to exceed:
Tilt-up not to exceed:
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Alloy
Wetted Surfaces:
Non-Product Contact:
Other:
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Stainless Steel Finish
Wetted Surfaces:
Electropolish
Non-Product Contact:
Other:
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Welds
Interior:
Other:
Exterior:
Other:
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Processing Temperatures
Vessel:
°F
°C
Heat Transfer Jacket:
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Pressure / Full Vacuum
Vessel:
PSIG
BARG
Heat Transfer Jacket:
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Codes
ASME Code Stamp:
National Board Registration
Canadian Registry Number
Notes:
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Top/Front Head
Head: Other:
Manway: Other:
Vent: Other:
Vent Size: Other:
Fittings: Other:
CIP: Other:
Bottom/Back Head
Head: Other:
Heat Transfer Jacket: Other:
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Insulation (Chloride Free)
Desired Thickness: Other
Location: Other
Insulation Cover Material: Other:
Notes:
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Drain
Size:
Fitting:
Valve Type:
Minimum
Ground Clearance:
Tolerance:
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Legs and Supports
Type:
 Other:
Feet:
 Other:
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Tank Fittings
Head Manway: See head section above.
Sidewall Manway 1:
 Other:
Sidewall Manway 2:
 Other:
Sight Glass: Size: Lighted
Temperature Well: Size:
Load Cells
Other Fittings: (i.e. sample port, level gauge)
Notes:
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Fitting Location

Top Fittings
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Type Size Orientation Quantity

Side Fittings
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Type Size Orientation Quantity
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Agitation
Type:
 Other:
Seal:
 Other:
Seal Notes:
Drive:
 Other:
Variable Speed
Tachometer
Impeller:
 Other:
Impeller Notes:
Process:
 Other:
Process Notes:
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Product to be Mixed
Name Wt % Specific Gravity Viscosity (cps)
Liquid 1
Liquid 2
Solid
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Check all that apply:
General Reports
   ASME
Passivation
Profilometer Readings (Ra) ID/OD
Material Test Reports
Hydrostatic Test
Drawings
Approval Drawings
As-Built Drawings
Certified Drawings
Electronic
Notes:
Validation Documentation (Pharmaceutical Only)
NIST Traceable Calibration
Surface Finish
Compliance for Gaskets/O-Rings
Riboflavin Sprayball Test
Compliance for Insulation
Compliance Cert.
Electropolish
Procedures
Borescope
QA/QC Manual
Calibration
Incoming Material Inspection Reports
Welding
Mechanical Polishing
Hydrostatic Test
Surface Finish Testing
Electropolishing
Final Inspection Report
Passivation
Calcs
Jacket HTS Area
Seismic
HTS Calculations
Wetted Surface Area
ASME Code
Additional Information
Dye Penetrant Test (standard)
Helium Test
Custom Name Tag / Numbering
Weld Maps
Welder Qualification Records
Radiography
Sandblasted Logo
Sample Weld Coupons
Spare Parts List
Additional Notes:
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Press the Submit button below when you are finished with the form. If the form submission is successful, you will be directed back to our home page. If you wish to make changes and submit another form, please use your Back button. Thank you for your submission.

Copyright JV Northwest, Inc. 390 S. Redwood St., Canby, Oregon 97013
(503) 263-2858
tanks@jvnw.com