Description/name of liquid(s)/slurry

pH range (high/low/norm) Temperature range/norm Specify gravity

Corrosives, chlorides or solvents

Abrasive components

Solids size (max) and description

Flow rate required (typical and maximum)

Current piping materials used to successfully handle liquid(s)

Materials of pump construction requested

Plant Data

* Company Name

Location

* Contact Person

Phone

* Email Address

Fax

Air pressure available

Line Size

110 vac available Yes No

Electrical Classification

Indoors/outdoors/temperature?

L= length of pipe run

H= vertical lift required

Diameter of pipe run

Does the discharge tie into a pressurized main, the discharge of another pump(s) or a pressurized vessel?

Submersed Application

D= sump depth (also include max. liquid depth)

W= sump width

L= sump length

Self-priming Application

D= sump depth

SL = suction lift, max and min of liquid level to centerline of pump inlet

X = distance from pump to sump edge