Thermoplastic Manifold Worksheet "*" indicates required fields Job Name/Reference*Date* MM slash DD slash YYYY Contact Information:Name* First Last Title*Company*Email* Address* Street Address City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÃ…land Islands Telephone*FaxManifold Layout The following manifold/service details are needed in order for Chemline to fabricate a manifold. The details can be chosen from the sequence below the chart: Medium / Concentration Operating pressure range Operating temperature range Main pipe size (1), thickness (2) and material (3) Branch layout (4) Branches per row (5) Branch size (6) and type (7) Branch spacing (8) Branch height (from centreline) (9) Total manifold length (10) Manifold end connections (11) and (12) Medium*Attach the MSDS if medium is a compound.MSDS File UploadMax. file size: 50 MB. Concentration*Operating Pressure Range*Branch Size Unit* PSI BAR Operating Temperature Range*Branch Size Unit* deg C deg F (1) Main Size 1* 2" 2-1/2" 3" 4" 6" 8" (Schedule 80 / DR11)(2) Main Size 2* 10" 12" (Schedule 80/40 / DR11/17)(3) Pipe Material* PVC CPVC PP PVDF ECTFE HDPE (4) Branch Layout* any 1 row any 2 rows at 180° (5) Number of Branches per row*(6) Branch Size* 1/2" 3/4" 1" 1-1/4" 1-1/2" 2" 2-1/2" 3" 4" (7) Branch Type* Open Pipe Female Thread Male Thread Half of Union Grooved (8) Branch Spacing*Branch Size Unit* mm inches (9) Branch Height*(from manifold centreline)Branch Height Unit* mm inches (10) Main Length*Main Length Unit* mm cm inches feet (11) End Connection #1* open pipe socket female thread flange grooved capped capped with threaded coupling (12) End Connection #2* open pipe socket female thread flange grooved capped capped with threaded coupling Privacy Policy and Data Usage Policy Acknowledgment* Yes, I have read the privacy and data usage policy and would like to continue. * required field