Valve Survey Data Report

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VALVE - FLANGED

CLIENT: DESIGN PRESSURE:


LINE MATERIAL: OPERATING PRESSURE:
SIZE/RATING: DESIGN TEMPERATURE:
LINE MEDIUM: OPERATING TEMPERATURE:

ØA F1 K2 N U2
ØB H1 L1 P U3
FLA1 H2 L2 R F2
FLA2 J L3 S1 F3
FLB1 K1 M S2
FLB2 FLC1 FLC2 U1 CAN HANDLE BE REMOVED
YES NO
NOTE: LEAK SEALING SURVEY REPORT (UG-F-2002-OE-0041) MUST BE COMPLETED ALONG WITH THIS DATA SHEET.

NEAREST OBSTRUCTION

WELLUBE CLIENT
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:

UG-F-2002-OE-0041/A REV.3 REV DATE: 16-AUG-2021

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