Customer Information

Customer:

Attention:

Address:

City:

Province/State:

ZIP/Postal Code:

Phone:

Fax:

Cell:

E-mail:

Sales Contact:

Site Location:

Site LSD:

Driver Requirements

Area Classification:
Class I Div. I XP Class II Div. II TEFC Non Classified
Driver Type:
Natural Gas Diesel Electric
Prefered Manufacturer:


Driver Options:
Thermistors:
RTD's:
Clutch:

Build Options

Application Description:
Operating Point(s):	Flow Rate (BPD) Disch Press (psi) Suction (Intake) Press(psi)
Fluid Type:      Fluid Temp:   F  C     Specific Grav.:
Comments On Fluid
Corrosiveness:	Low      Medium      High
Abrasiveness:	Low      Medium      High
Scaling Tendency:	Low      Medium      High
Additional Fluid Information:
Frequency:	50Hz     60Hz
Voltage:	380V     415V     460V
Fixed or Variable Speed (VSD):	Fixed    VSD
Other (Diesel, 575v, etc.):

Pump Selection (If already done)

Pump Type:       Number of Stages:       Max BHP req.:

Pump Suction (Intake) Connections

Suction Flange (Std. Sizes: TD, TG, TE & TJ normally 4", TM and above 6"):  Size: inches

Extra Cost Optional Material Polymer Coated Steel Class 150 (160 psi @ 200 ºF) Class 300 (600 psi @ 200 ºF) Class 600 (1350 psi @ 200 ºF) Class 900 (1500 psi @ 200 ºF) Class 1500 (3000 psi @ 200 ºF)

Standard Material 316L Stainless Steel Class 150 (160 psi @ 200 ºF) Class 300 (600 psi @ 200 ºF) Class 600 (1350 psi @ 200 ºF) Class 900 (1500 psi @ 200 ºF) Class 1500 (3000 psi @ 200 ºF)

Pump Discharge Connections

Discharge Flange (Std. Sizes: TD-2", TG - 3", TJ - 4", TM520 - 4", TM675 and above - 6"):  Size: inches
Class 300 (1350 psi @ 200 ºF) Class 900 (2025 psi @ 200 ºF) Class 1500 (3375 psi @ 200 ºF) Class 2500 (5625 psi @ 200 ºF)

Motor

Direct-On-Line (DOL)	Standard features include: Vacuum Contactor, NEMA, 3R encl., 120v Control power transformer, Start/Stop push button & light, Start time delay relay over/underload protection, pilot lights for vibration & suction/discharge pressure trip, space heater with thermostat.
Soft Starter (Solid State)	Comments:
VRD	Standard features include: NEMA 3 enclosure, Input disconnect 3 phase, variable torque, MOV lightning arrestor, auxilliary relays for Pressure and Vibration shut down, Emergency stop button. Comments:
CTI	Comments:

Other Options or Comments