T

o

b

e

f

i

l

l

e

d

o

u

t

b

y

B

R

U

G

G

R

o

h

r

s

y

s

t

e

m

e

Projektplanung

Pipe systems for tank facilities and service station

s

Processing enquiries

By E-Mail to:

info.brg@brugg.com

By fax to:

+49 5031 170-18

9

Project details:

Project designation:

Postcode / Town

:

estimated project value (PW):

T€

Chance of getting order (AC):

%

Desired probable exec. date

:

Competitors

:

Length:

m

Dimensions: DN

Customer/Contractual partner

:

Company

:

Country:

Contact person

:

eMail address

:

Desired

date of o

ffer:

Product group:

Market segment

:

FLEXWELL® Safety Pipe

BRUGG-STAMANT®

SECON®-X

FLEXWELL®-LPG

NIROFLEX®

SPIRAFLEX®

Training seminars

Other

Information on medium for FLEXWELL-Sicherheitsrohr®, BRUGG-STAMANT®-Sicherheitsrohr, SECON®-X or FLEXWELL®-LPG

:

Substance to be carried:

Layout:

for SECON®-X petrol station require

d

Routing:

for BRUGG-STAMANT® absolutely necessary

Principle sketch:

in other cases

Description of work to be done

:

German

Englis

h

Fire prevention:

Wall/ceiling thickness:

Data for supply: Supply rate Supply pressure Temperatur

e

_____ m3/h __________ bar ________ °

C

Data for laying: In the ground

Empty pipe

Cana

l

Building

Pipe bridge

Othe

r

Description of project:

Date/Signature

:

Customer BRUGG

:

Project BRUGG:

Received by BRUGG:

n

n

n

n

n

n

Date/Signature

:

n

n

04.05.2022 Subject to technical changes. Page 3