Fluid Information Name: *Viscosity: ssu cst cps Specific Gravity: *Temperature: F C *Solids? Yes No Unknown Solids description (size, %, matl, etc...)

Application Information

*Capacity: US gal/min US gal/hr liter/min liter/hr imp. gal/min imp. gal/hr cu. m/hr ml/min Suction Pressure: inch Hg. vac. mm Hg. vac. psi gage psi abs. bar gage bar abs. ft. fluid gage ft. fluid abs. m. fluid gage m. fluid abs. ft. water gage ft. water abs. m. water gage m. water abs. kg./sq. cm. gage kg./sq. cm. abs. KPa gage KPa abs. atm. gage atm. abs. *Discharge Pressure: psi gage psi abs. bar gage bar abs. ft. fluid gage ft. fluid abs. m. fluid gage m. fluid abs. ft. water gage ft. water abs. m. water gage m. water abs. kg./sq. cm. gage kg./sq. cm. abs. KPa gage KPa abs. atm. gage atm. abs. NPSH Available: psi abs. bar abs. ft. fluid abs. m. fluid abs. ft. water abs. m. water abs. kg./sq. cm. abs. KPa abs. atm. abs. Flooded Suction? Yes No Unknown If no, suction lift needed: Feet Meters

Pump Information

Pump Style: Internal Gear *Material of Construction: Iron *Seal Style: Choose One... Packing Lip Seal Single Mechanical Seal Unknown *Relief Valve? Yes No *Replacing an existing pump? Yes No If so, describe existing pump (mfgr., model no., current problems, etc...)

Other

Comments: *Qty pumps needed: Date Pump(s) Needed: