Inovator Pump Package Inquiry Form - Waterflood Service & Sales LTD.

Customer (required):

Attention:

Address:

City:

Province/State:

ZIP/Postal Code:

Phone:

Fax:

Cell:

E-mail (required):

Sales Contact:

Site Location:

Site LSD:

Fluid Type:

Fluid Flow:

Suction Pressure/NPSH:

Discharge Pressure:

Number of Pumps:

Fluid Viscosity

Specific Gravity

Particle Size in Microns

Solids in Fluid

Concentration

Water Analysis
Yes No
Fluid Temp

Prefered Manufacturer:

Model:

Packing Material:

Shutdown:
Low Oil
Vibration

Plunger Material:

Lubricator:
Lubricator
Day Tank

Valve Style:

Pump Equipment:
Suction
Discharge

Xray:

Corrosion Allowance:

Pressure Test
Internally Coated

Roof & Walls Exterior:

Roof & Walls Interior:

Exterior Color:

Exterior Trim:

Acoustic Liner and Trim
Door Canopies
Translucent Roof Panels
Downspouts & Gutters
Removeable Section
Ventilators
Ridge Vent
Louvers
Whirlybirds

Power Exhaust Fans Qty.:

Single Doors Qty.:

Windows Qty. (3' x 3' Std.):

Double Doors:

Delivery Date Requested:	Trucking: WSS Other
	Loading: WSS Other

Purchase Lease to Purchase Rent

Charge Pump	Flow Meter	Heater	Annunciator Panel
Relief Valve	Strainer	Bypass Control Valve	Filter Bypass
Filter	Suction Pressure Shutdown	Discharge Pressure Shutdown	Insulate Skid Floor
Electrical Package	MCC Provisions	Removable Pump Prime