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Application Survey
Pump Quote
System Quote
Quantity Required
New Installation
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* If replacement, existing pump/system manufactured by:
 
Model
RPM
Age
HP
Belt Drive
Direct Drive
Application Survey Continued
Application
Key Application Requirement
Vacuum Level @ mm HgABS (TORR)
Inches Hgv
Inches HgABS
Flow Needed
ACFM
SCFM
LBS/MIN
LBS/HR
LITERS/HR
Gas Composition  
By Volume
By Weight
Pump Material Requirements
Is Gas/Air Saturated? Yes No
Gas Temperature ° C / °F
Ambient Temperature ° C / °F
Elevation (Above Sea Level) Feet
Operation  
Continuous
Intermittent
System Type  
Water Sealed
Oil Sealed
System Design  
No Recovery
Partial Recovery
Full Recovery
Air Cooled
Water Cooled
Simplex
Duplex
Other
Utilities on Site  
Electrical Voltage
1-Phase
3-Phase
Amperage Available
Electrical Area Classification  
Unclassified Indoor
Outdoor
Nema
CL1, Div 2
CL1, Div 1
Control Box on Skid
Separate
  Distance Ft.
Seal Water  
GPM Available
Type (Portable, Deionized, Etc)
Temperature ° C / °F
Cooling Water  
GPM Available
Pressure
ΔP Allowable
Temperature ° C / °F
ΔT Allowable ° C / °F
Chilled Water  
GPM Available
Pressure
ΔP Allowable
Temperature ° C / °F
ΔT Allowable ° C / °F
Controls Required  
Vacuum Switch
Lead/Lag
Auto Alternator
Disconnects (Specify)
Frequent Start Protection
Vacuum Relief Valve
PLC
UL Listing Required
NFPA 99
Other (Please Specify in Comments)
Comments
Date Quote Required
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