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(954) 960-0311 • M - F 7:30am - 5:00pm
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(954) 525-8165 • M - F 7:30am - 4:00pm
Cylinder & Machine Shop
(954) 975-3211 • M - F 7:00am - 3:00pm

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CUSTOM HOSE ASSEMBLY FORM

CUSTOM CRIMP CAPABILITY

Industrial Hose & Hydraulics now offers in-house crimped assemblies up to 6" ID hose as part of our ongoing efforts to promote safety and improve our "Circle of Safety" program. Crimped assemblies are far superior to a Banded version as they can be used at elevated pressures. Better coupling retention = safer assembly = less accidents. Upon request, all assemblies can be Hydrostatically tested with Test Certificate provided. WORK Smarter ------ Work Safer ------ " GET CRIMPED "

CUSTOM HOSE ASSEMBLY REQUEST FORM

To ensure the accuracy of your quote for hose assemblies, please provide as much information as possible. See S.T.A.M.P.E.D. guide at the bottom of this page.

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STAMPED Guide

SIZE

What are the hose's Inside Diameter (I.D.) and Outside Diameter (O.D.)? What is the overall length of the hose assembly?

TEMPERATURE

What is the temperature range of the material flowing through the hose? What are the temperature highs and lows for the hose's outside environment?

APPLICATION

What is the hose being used for? (hydraulics, venting, suction, discharge, etc.)

MATERIAL

What material or substance will flow through the hose assembly? Specific materials (i.e. oil, abrasive, chemical, gases, etc.) often require specific hose design parameters to be sufficiently contained and adequately utilized.

PRESSURE

What is the maximum working pressure of your application? Does the pressure level experience surges and/or regular decreases?

ENDS

What types(s) of fittings are required for the application? (i.e. male or female, pipe thread, jic, metric, angled, etc.) Are the fittings designed for the hose?

DELIVERY

Testing, quality, packaging and delivery requirements.