Customer:_______________________ Job No.:__________________ Due Date:____________________
Part Name:______________________ Part No.:_________________ Rev. No.:_____________________
No. Of Cav.:_____________________ Press size:________________ Tie Bar Clear:_________________
Wall Stock:______________________ Shrink:___________________ Resin:_______________________
MOLD TYPE EJECTION RUNNER SYSTEM
Prototype:________________ Guided_____________ Sprue Radius___________
Production:_______________ K.O. Pins__________ Sprue Orfice___________
K.O. Blades________ Sprue K.O._____________
Mold Const. K.O. Sleeves_______ Run. size 1___2___3____
Standard:_________________ K.O. Bars__________ Runner Shut-off________
3-plate:__________________ Stripper___________
Hot Runner:_______________ Lifter_____________ TYPE OF GATE
Reverse Mold:_____________ Spring Return______ No. Gates/Cavity_______
Unit Die Insert:__________ K.O. Patern _______ Edge___________________
Hot Sprue-bushing:________ Auto-Unscrew_______ Subgate _______________
Other_____________________ Auto-Unscrew_______ Chisel_________________
Air Poppet_________ "D" Gate ______________
MOLD BASE MATERIAL Accelerated_K.O.___ Center Sprue __________
#1 STEEL________ Other _____________ Pin-point______________
#2 STEEL________ Valve Gate_____________
#3 STEEL(p20)___ Other _____________
Other ________
MATERIAL CAV. CORE Rc FINISH CAV. CORE
4140 _____ _____ _____ #A-1 # 3 Diamond ______ ______
S-7 _____ _____ _____ #A-2 # 6 Diamond ______ ______
P-20 _____ _____ _____ #A-3 # 15 Diamond ______ ______
H_13 _____ _____ _____ #B-1 # 600 Paper ______ ______
420 S.S. _____ _____ _____ #B-2 # 400 Paper ______ ______
V-44 _____ _____ _____ #B-3 # 320 Paper ______ ______
Other _____ _____ _____ #C-3 # 320 stone ______ ______
DESIGN BY #D-1 # 11 Glass Bd. ______ ______
Moldmaker _______ #D-2 # 240 oxide ______ ______
TYPE OF DESIGN #D-3 # 24 Oxide ______ ______
Detailed Design _____ _______________ ______ ______
Layout only__________ Texure__________ ______ ______
PROVIDE DRAWINGS _____ Engraving_______ ______ ______
PROVIDE DATA DISK ____ Nitride__________ ______ ______
Other __________ ______ ______
DRAWING FORMAT(3d) SolidWorks ______ Parasolid _____ Unigraphics _____ IGS_____ 3d DXF_______ Pro E. PRT_______
DRAWING FORMAT(2d) SolidWorks ______ Cadra _____ IGS_____ DXF_________
MOLD FEATURES
Mech. Slides _____________________ Hyd. Slides ___________________ Double Slide Locks_________________
Interchangeable Inserts __________ Hand Loaded Inserts ___________ K.O. Early Returns_________________
Limit Switches ___________________ Parting Line Locks ____________ Insul-bd.@Plt. A________B_________
Date-code Insert _________________ Cooling in Slides _____________ Double Slide Locks_________________
SPECIAL NOTES:____________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________