Pump Inquiry Data Sheet

Contact Information
* Name: * Company:
* Phone:    Address:
   Fax:
   e-mail: * indicates information required

Operating Conditions
Capacity: (gpm) TDH: (ft)
Suction Pressure: (psi) Discharge Pressure: (psi)
NPSHA: (ft) Service:

Liquid Data
* Liquid Name: Specific Gravity:
Viscosity: (cP) Vapor Pressure: (psi)
Melting Point: (deg. F) Specific Heat:
Maximum Temperature: (deg. F) % Solids: %
Pumping Temperature: (deg. F) Particle Size:
Material Required:
Other Characteristics:

     * indicates information required

Power Requirements
Motor Voltage:  Hertz: Phase:
Area Classification:

Utilities
Heating / Cooling Available:  
Heating / Cooling Media:
Media Temperature:   (deg. F) Media Pressure: (psi)
Flush Available:
Flushing Media:
Flush Temperature: (deg. F) Flush Pressure: (psi)

Additional Comments
Comments: