Pump Application Data Sheet

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Contact Information

Name *

Company

Address

City

State/Region

Postal Code

Country

Email *

YourEmail *

Phone *

Application

Tag Number

Pumped Fluid

Fluid Temperature (°F)

Maximum

Normal

Minimum

Specific Gravity

Viscosity (cps)

Vapor Pressure

Chlorides (ppm)

Solids (%)

Type of Solids

Fluid ph

Types of Fluids

Hazardous Fluids

Flammable Fluids

Other Fluids

Operating Conditions

Capacity (gpm)

Maximum

Normal

Minimum

Differential Head (ft)

Suction Pressure (psig)

Discharge Pressure (psig)

NPSH Available (ft)

Type of Service:

Continuous

Intermittent

Pump Style

Centrifugal

Dosing

Positive Displacement

Materials

Material, pump housing

Material, impeller

Material, shaft

Material, sleeve

Type of shaft seal

Material, Seal Faces

Material, Seal Elastomer

Material, Seal Flush Required

Material, Seal Plan

Electrical data

Motor/Driver Type

Frequency Hz

Rated Voltage

Service Factor

Enclosure

Insulation Class

Installation

Maximum Ambient Temp (°F)

Pipe Connection

Size

Notes

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Pump Application Data Sheet

Contact Information

Application

Operating Conditions

Pump Style

Materials

Electrical data

Installation

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