Pumps New Equipment

Customer Contact Information

Name: *

Phone: *

Email: *

Business Name: *

Job Title: *

Industry *

Chemical Aerospace Agriculture Automotive Construction Electronics Food & Beverage Metallurgical Mining & Minerals Municipalities Oil & Gas Pharmaceutical Primary Metals Power & Energy Transportation (Truck) Water & Wastewater Wood, Pulp & Paper

Describe Application *

Technology/Products to Size

ANSI Pump AODD Self-Priming Trash Pump Rotary Gear Pump Progressive Cavity Vertical Mixed Flow Pump Vertical Axial Flow Pump Deep Well Vertical Submersible Vertical Turbine Pump Close Coupled Centrifugal Pumps Split Coupled Vertical In-Line Pumps

Liquid Properties

Liquid Name:

Liquid Temperature (°F):

Density (lb/ft3):

Specific Gravity @Liquid Temp:

Viscosity:

Select Unit

cP cSt SSU

Vapor Pressure (PSIA):

PH:

% Solids by Wt:

Safety/Environmental Characteristics:

FDA Other Flammable Explosive Carcinogenic Noxious Regulated Toxic EHEDG

Please specify if Other:

System

Ambient Temp. Min (°F):

Ambient Temp. Max (°F):

Site Elevation (ft):

Nominal Design Capacity (GPM):

at TDH (ft):

Minimum Design Capacity (GPM):

at TDH (ft):

Maximum Design Capacity (GPM):

at TDH (ft):

NPSHa (ft):

System if TDH and NPSHa unknown:

Design Capacity (GPM):

Open Tank System or Vented Tank

Closed System

Suction Closed Tank Pressure:

Select Unit

PSIG in. Hg. (G) in. Hg. (A)

Discharge Closed Tank Pressure:

Select Unit

PSIG in. Hg. (G) in. Hg. (A)

Pump Suction Pressure, measured @suction flange (PSIG):

Pump Discharge Pressure, measured @discharge flange (PSIG):

Min. Static Suction Head (flooded suction installation, +ft):

Max. Static Suction Lift (suction lift installation, -ft):

Static Discharge Head (ft):

Suction Pipe Nom. Ø (in)

Discharge Pipe Nom. Ø (in)

Pipe Material:

Pipe Schedule #:

Pipe Roughness (ft):

Total Suction Line Friction Head Losses (ft):

Total Discharge Line Friction Head Losses (ft):

Duty Cycle

24/7 8-10 hrs Intermittent

Materials of Construction

Material Options:

Stainless Steel Other Cast Iron Ductile Iron PVDF CD4 Alloy 20

Specify material if Other:

Casing Connections

Flanged Other NPT

Specify casing connection if Other:

Jacketing for cooling/heating:

Yes No

O-ring Material:

NBR Other TFE Viton

Specify O-ring if Other:

Stuffing Box

Sealing Options:

Mechanical Seal Packaging Graphite Other

Specify Sealing Option if Other selected:

Preferred Seal Type:

Cartridge Mechanical Seal Single Mechanical Seal Double Mechanical Seal Lip Seal Other

Specify Seal Info if Other selected:

Make:

Type:

Material:

Gland Type:

Other Info:

Motor/Driver Requirements

Will NWIR be supplying a motor?

Yes No

Motor Type:

Electric Motor Engine Pneumatic Air Other

Motor Type if Other:

Motor Enclosure:

TEFC ODP TENV XPFC Encapsulated Other

Specify Motor Enclosure if Other:

Voltages:

1-60-115/208-230 3-60-230 3-60-230/460 3-60-460 3-60-575 Other

Phase:

Cycles:

Voltage:

NEC Area Classification if XPFC is selected:

Class:

1 2

Division:

1 2

Group:

A B C D F G

Method of Starting:

VFD DOL (Direct on Line) Other (e.g. Soft Start)

Specify Method of Starting if Other:

Pump Drive Orientation

Direct Drive V-Belt Magnetic Drive Other

Specifiy Pump Drive Orientation if Other:

Other Special Requirements:

Will NWIR supply an electrical control panel:

Yes No

Enclosure Type Required:

NEMA Type 4 NEMA Type 4X NEMA Type 7 & 9 NEMA Type 12 NEMA Type 13 Other

Enclosure Type if Other:

Base Plate/Mounting

Pump Mounted:

Horizontally Vertically

Base Plate:

Channel Steel Fab Steel Cast Iron

Coupling:

Jaw Flexible Spacer Magnetic Other

Specify Coupling if Other:

Alignment Lugs:

Yes No

Painting:

Mfg. Standard None Primed Only

Specify any Special Painting

Customer Requirements

Approval Dimensional Drawings:

Yes No

Hydrostatic Test:

None Witness Non-Witness

Performance Test:

None Witness Non-Witness

Field Test:

None Witness Non-Witness

Inspecting Prior to Shipping:

Yes No

Start-up Assistance:

Yes No

Operator Training:

Yes No

Maintenance Training:

Yes No

Existing Pump Data

What type of pump do you currently use for this process:

ANSI Pump AODD Self-Priming Trash Pump Rotary Gear Pump Progressive Cavity Vertical Mixed Flow Pump Vertical Axial Flow Pump Deep Well Vertical Submersible Vertical Turbine Pump Close Coupled Centrifugal Pumps Split Coupled Vertical In-Line Pumps Other

Please describe pump type if Other is selected:

Pump Manufacture:

Pump Size:

Pump Model:

Pump Speed (RPM):

Motor Frame:

Motor Enclosure:

TEFC ODP TENV XPFC Encapsulated Other

Motor Enclosure if Other:

Motor FL RPM (listed on motor nameplate):

Impeller Ø (in):

NPSHr (ft):

If the current pump has failed, what was the nature of the failure?

Additional Remarks:

Human Verification