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Data sheet
Date of Request
Company Name
Address
City/State/Zip
Contact
Phone
E-mail
Distributor
Contact
Process/Project Description
Time Needed:
Immediately
1-3 Months
3-6 Months
More than 6 months
Due Date
Fluid & Process
Design
Max
Min
Liquid & Percentage
Temp (F)
Flow (GPM)
TDH (feet)
Suction Head (feet)
Suction Pressure (Psig)
Discharge Pressure (Psig)
NPSHa (feet)
Specific Gravity
Viscosity (cp)
Specific Heat
pH
Particles (% by vol.)
Particle Size
Liquid Level (feet)
Suction Lift
Current Installation
Manufacturer
Design
Pump Size
Model No.
Impeller Diameter
Material
Suction Port Diameter
Discharge Port Diameter
Motor HP
RPM
Notes
System Design
Tank Material
Tank Volume
Piping Material
Suction Pipe Diameter
Discharge Pipe Diameter
Electronic Flowmeters
Yes
No
Liquid Level Controls
Yes
No
Will system be flushed
Yes
No
Can pump run dry?
Yes
No
Can pump dead-head?
Yes
No
NPT Pump Ports:
Yes
No
Flanged Pump Ports
Yes
No
Motor Specifications
Enclosure
TEFC
Chem Duty
Exp
DC
Mounting
Close Coupled
Long Coupled
Preferred RPM
1750
3500
Hertz
50 Hz
60 Hz
Phase
Single
Three
Voltage
115 V
208 V
230 V
380 V
460 V
575 V
12 V
24 V
Options & *Monitoring
Power Monitor
Single Trip
Dual Trip
Dual Trip w/4-20 mA
Thermocouple Probe
Yes
No
Welded Steam Jacketsr
Casing
Bracket
Internal Bearings
Self-Cleaning Discharge Strainer (WMCA models only)
Preliminary Pump Selection
Centrifugal
Turbine
Self-Priming
Vane
Vertical
Pump Model:
Pump Material
* NOTE:
Pump warranty is contingent upon an approved electronic monitoring device.
