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What is your Heated Hose Application?
BHH - Hot Melt, Plastics, High PressureTDH - Dispense of Tar, Hot Patch, Road RepairHWX - Hot Wax, Candles, Forms, MoldingHDH - Dock Hose, Gray Water, Petro-ChemicalsHCZ - Heated Hose for Hazardous & Classified LocationsBHF - FDA Approved for Food & DairyFDH - Approved for Pharmaceutical ApplicationsHPH - Spray Foam (Single & Dual Core)HCP - Robotics & High FlexHTE - Extreme Temperature Hose

Select an Operating Temperature
500 C400 C300 C200 C150 C100 C80 C47 C

Select a Primary Transfer Tube Type
PFA TeflonPTFE TeflonSiliconeCarbon/TeflonCorrugated SSSmooth Wall SSBlack Pipe/Iron (Rigid)EPDM RubberBuna SSPVC/Vinyl/TygonVitonDon't Know/ASE will specify

Select an Operational Voltage
6 VDC12 VDC24 VDC100 VAC120 VAC120/240 VAC208 VAC240 VAC277 VAC480 VACDon't Know/ASE will specify

Select a Primary Sample Tube Type Diameter

Where will you be using your Heated Hose?
Indoors/LabOutdoors/Cold/WetOutdoors/Hot/DesertIndoors/Cold/DryDirect BurialHigh Temperature AreaOn-Road UseClassified/Haz AreaFactory FloorDockside/MarineArctic/ColdRobotics/High FlexOther

Select a Temperature Sensor
J-T/CK-T/CT-T/CS-T/CE-T/CPT100 RTDSelf LimitingInternal Thermostat

If you selected a Classified Area, please give us more details Class 1 Div 1 Grp AClass 1 Div 1 Grp BClass 1 Div 1 Grp CClass 1 Div 1 Grp DClass 1 Div 2 Grp AClass 1 Div 2 Grp BClass 1 Div 2 Grp CClass 1 Div 2 Grp DClass 2 Div 2 Grp AClass 2 Div 2 Grp BClass 2 Div 2 Grp CClass 2 Div 2 Grp D

Please choose any of the common options that apply. Note that Atmo-Seal is happy to customize our products to your specific need. Please feel free to call or e-mail is with any special requests. Washdown/ (FDA)Abrasion Resistant Jacket Interface (Tar)Junction Heater Lead SideMessenger WiresMessenger Power/T/CsJunction Heater Non-Lead SideBias/Span TubeDo you want a user replaceable Transfer TubeAdditional Options

Enter any options, additional descriptions or special request

Describe your application

My urgency in requesting this information is Extremely Urgent! Have someone callCall me back in a few daysPlease email this weekMy need is 3-4 weeksMy need is 1-3 monthsJust checking for future reference