Facility Name: Installed Location:
Operating Conditions (at installation):
- Liquid Data:
- Liquid Description:
- Temperature:
- Specific Gravity:
- Viscosity (cp):
- pH:
- Ambient Temperature:
- Solid Size & Content:
- Capacity: GPM
- Suction Pressure: PSI
- Discharge Pressure: PSI
- Head Pressure (TDH):
- Speed: RPM
- Pump Mounted: (Inside or Outside)
Pump Data:
- Manufacturer:
- Model:
- Serial Number:
- Pump Size:
- Discharge Diameter:
- Inlet Diameter:
- Case Size:
- Impeller Diameter:
- Shaft Size:
Sealing Data:
- Packing or Mechanical Seal:
- Mechanical Seal Information:
- Single Seal or Double Seal:
- Component or Cartridge:
- Seal Manufacturer:
- Face Materials:
- O Ring Compound:
- Flush: Yes / No
Material of Construction:
- Case Material:
- Impeller Material:
Motor Data:
- Horsepower:
- Speed: RPM
- Voltage:
- Frame:
- Enclosure:
- Service Factor:
- Motor Shaft Size:
- Full Load Amps:
- Amp Reading (Under Load):
- Amp Reading (No Load):
- Manufacturer:
Drive Data:
- Drive or Belt Drive:
- Coupling:
- Coupling Information:
- Coupling Brand:
- Coupling Model:
- Coupling Size:
- Insert Material:
Comments: Area Address: