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CONTACT INFORMATION    
 *Required Fields    
*Name: *Phone:
*Company: *Fax:
*Address: *E-Mail:
*City: *Zip:
*State: Send Via:
*Project: Construction:
Unit: Tungsten Carbide Coating:
Quanity: Elastomer:
     
FLUID INFORMATION    
       

Fluid Type:

Content:
Max. Solid Size: Abrasiveness:
Max. Temp: Percent Solids:
Viscosity: Normal: Min: Max:
Flow (GPM) Normal: Min: Max:
Pressure (PSI) Normal: Min: Max:
New Application: If No, Make and Model of pump.  
Reason for Change:
 
     
SUCTION CONDITIONS     
Feet    

Suction Piping Size: 

Discharge Piping Size:

 

   
COMMENTS OR CHEMICAL CHARACTERISTICS OF MEDIUM  
       
 MOTOR & BASE OPTIONS      
       
Motor Choice: Motor Options:
Base Choice: Base Options: