Extol Insulation
   Industrial Insulation 		2:1 Eliptical Head Insulation Order Form
Ph: 800.486.9865 | Or: 419.668.2072 | Fax: 419.663.1992
208 Republic Street, Norwalk, Ohio 44857
Customer Name: Order Tag #:
Billing Address: Shipping Address:
Contact:
Other Shipping Info:
Phone: Fax:
Customer P.O.# 2-Digit Country Code: Area Code:
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NOTE: This material order is special fabrication. It may not be cancelled or returned.
2:1 Eliptical Vessel Head Insulation At the center of the head, the dish radius is equal to the vessel diameter. At the tangent of the head and the shell; the dish is 1/8 of the vessel diameter.
Please measure (in Inches) the Overall Height, from the weld line to the top of the head. We also need the Outer Diameter of the vessel head. Note: Insulation will be supplied to the 'Head Insulation line." Extend pipe covering or curved segments to cover straight flange. 2:1 Eliptical Head Insulation Measurements
*All dimensions should be in INCHES.
Item Tag#:
Insulation Type:
Quantity: (each)
Vessel OD *(inches):
Insulation Thickness :
Vessel Circumference:
Overall Height:
Straight Flange:
PREFORMED JACKETING FOR INSULATION HEADS
Alum | SS | PVC | None
Gauge Thickness:
Type if Metal Finish: Smooth Stucco
(Note: All Metal Fabricated w/Moisture Barrier)
Other:

Send any questions about this Order Form to: info@ExtolOhio.com

(If you would rather print this form and send it by Fax, the number is: 419.663.1992)

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Ph: 800.486.9865 || Or: 419.668.2072 || Fax: 419.663.1992
info@ExtolOhio.com || Located at:
208 Republic Street, Norwalk, Ohio 44857