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Diaphragm Pump Application Form
Fill in as much detail as you can and we'll be happy to help you find the right pump for your needs.
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Contact Info
Your Name
*
First
Last
Company
Email
*
Phone
*
Capacity and Speed
Capacity Required
U.S. Gallons per minute
Operating Speed
RPM
Service Type
Continuous
Intermittent
If intermittent, please explain...
Is there a filter system?
Yes
No
Please Quote
Average flow required
U.S. GPM
Liquid Pumped
Type and concentration
pH
Pumping temperature (F)
Viscosity at 70F
Viscosity at 100F
Viscosity at 210F
Specific Gravity
or weight per U.S. gallon
Are solids or abrasives present? If so, please explain.
Discharge Pressure (if any)
Pounds per square inch
or, foot head
Constant or Varying
Constant
Varying
If varying, please explain.
Vertical distance from the center line of pump to highest discharge outlet
Pipe size
I.D.
Total length of discharge line
No. of elbows (90)
No. of elbows (45)
No. and description of other fittings
Is there a Heat Exchanger?
Yes
No
Don't know
Pressure drop
PSI
Type of filter system
Average pressure drop
PSI
Suction Line
Vertical distance from the center line of pump to surface of liquid supply
Pipe size
I.D.
No. of elbows (90)
No. of elbows (45)
No. and description of other fittings
Is there a strainer?
Yes
No
Don't know
Type
Size
NPSH available
feet. (See NPSH Bulletin T-103.)
Power Unit
To be furnished by user
Yes
No
Don't know
To be furnished by dealer
Yes
No
Don't know
Specify prime mover (electric motor, gas engine, etc.)
Horsepower developed
Other characteristics
Electric Motor: Manufacturer
HP
RPM
3450
2850
1725
1450
Phase
1, Single
3, Three
Herts
60 Cycle
50 Cycle
Volts
110
115
190
208
220
230
240
380
440
460
480
575
Motor enclosure
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