Application Data Sheet > Application Data Sheet Form
Company Information
Company Name
 Contact
Division
 Telephone
Address
 Fax
City
 State
 Zip
Email
Classification User?  Dealer?  Export? 
Liquid Data
Liquid Type 
 Pumping Temp 
Normal 
 Maximum 
Specific Heat 
 Concentration % 
MAWP ( Deg. F.) 
@ 
Vapor Pressure @ P.T.
PSIA		 Viscosity @ P.T.(CP)
Specific Gravity @ Pumping Temp.
Solids?
 What %
 Type 
System Data
Flow Rate  Normal 
Minimum  Maximum 
P Discharge Pressure PSIG U.S. GPM@P.T. 
Norm
Rated
P Suction Pressure PSIG Total Dynamic Head FEET
Diff. Pressure 0 PSIG Suction Suction Lift Static
Special Requirements/Materials
Specified Materials
 Case/Housing
Impeller/Gear 
Shaft
 Baseplate 
Testing
 Special Data Or Drawings?
Gasket/O-Ring
 Flanges Yes No Special Piping
Inspection/Test Requirements
Shop Inspection
 Hydrostatic Test
Performance Test
 NPSH Test
Type of Drive
Drive Type Electric Air Other
Power AC DC
Air Press. PSI
Enclosure ODP TEFC XP
Voltage 
Phase Single Three N/A
Hertz 60 Hertz 50 Hertz
Additional Information

 

 
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