SEAL ANALYSIS REQUEST FORM

SENDOR INFORMATION
Note:
  • Provide as much information as possible.
  • If possible, provide pictures of seals and conditions of valve prior to and following removal.
PRELIMINARY DATA
Trelleborg Compound: (Y/N)
TYPE OF SERVICE REQUESTED (Check all that apply)
Return Seals to Sender (Y/N):
Note: Lead times can be significantly extended depending on requested service.
OVERFLOW INFORMATION