C504 2026

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  1. Click ‘Get Form’ to open the c504 in the editor.
  2. Begin by entering your Claim Number and Worker’s Name, including surname, first name, and initial. Ensure accuracy for proper identification.
  3. Indicate whether you will be off work due to the injury by selecting 'Yes' or 'No'.
  4. Fill in your Personal Health Number and Date of Birth in the specified format (Year/Month/Day).
  5. Answer the questions regarding your job title and describe a typical workday. Be specific about any changes that may have contributed to your symptoms.
  6. Check all applicable symptoms from the list provided, such as pain or numbness, and specify when these symptoms were first noticed.
  7. Detail tasks performed at work that may cause or increase symptoms, including how often you perform these tasks each day.
  8. List any medical treatments received for this condition along with your doctor's information.
  9. Complete any additional sections regarding past injuries, medications, and activities affected by your injury.

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2016 4.8 Satisfied (41 Votes)
2008 4.1 Satisfied (52 Votes)
2001 4 Satisfied (27 Votes)
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SPECIFICATIONS Design Standard:AWWA C504 / API 609 / MSS SP 67 Size Range : 3 - 72 Pressure Rating : 150 / 250 psi Working Temperature : -10˚C ~ +80˚C 14˚F ~ +176˚F End Connection : ANSI B16.1 / ANSI B16.5 / ASME B16.475 more rows
The AWWA butterfly valves are constructed per AWWA C504 standards and are suitable for bi-directional shut off and throttling service. These valves are ideal for clean and dirty water and gases. With a corrosion resistant shaft and stainless steel stem and adjustable and replaceable seats.
The AWWA C504 standard mainly regulates the use of butterfly valves in water supply and sewage systems, while the EN558 standard is more broadly applicable to different types of butterfly valves, gate valves, etc.
Butterfly Valve - AWWA C504 - D I - Model 3900 The valve is bubble tight at full rated pressure allowing for dead end service. Being a fully rubber lined valve allows this valve to be used in rough service applications.

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