Office use only
PART NO.
O-Ring Groove if Applicable
I:
O-Ring Groove O.D.
J:
O-Ring Groove I.D.
K:
Groove Depth
Flats
L:
Qty. Double
Qty. Single
Custom Sleeve Order Form
Date
9/5/2008
Name
Address
City
State
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Zip
Phone
Fax
E-mail
SLEEVE DESCRIPTION
Make
Model
Year
Quantity
Material
Gray Cast Iron
Ductile Iron
Alum
A:
Flange Dia.
B:
Flange Thickness
C:
Sleeve O.D.
D:
Finished Bore Dia.
E:
Rough Bore Dia.
F:
Sleeve Relief Dia.
G:
Sleeve Relief Height
H:
O.A.L.
Important: 2-Cycle applications require a drawing,
sample sleeve or cylinder for proper port specifications.