Customer:     
Company:      
Address1:     
Address2:     
City:         
State:        
Postal Code:  
Country:      
Phone:        
FAX:          
E-Mail:       

MATERIAL TO BE PUMPED
Material:
Specific Gravity:
pH:
Viscosity:
Volatility:
Percent Solids: by Vol. Wt.
Solids Size: in cm
Solids: Hard Soft Both
Abrasive? Yes No
Debris?  Yes No
Temperature:FC
Other material information:

PUMPING REQUIREMENTS
Fluid Flow Rate:GPMCFMCMM(cubic-meters/min)
Material Flow Rate:lb/mintons/hourkg/mintonnes/hour
Fluid Suction Head:ftpsiambar
 Note: The EDDY PUMP System will work with "negative"
       suction head, but is not self-priming and requires
       a static head for priming.
       Is this an issue for your application?YesNo
       If yes, please explain:
Fluid Discharge Head:ftpsiambar
Material Vertical Lift:ftm
Material Horizontal Transfer:ftm
System Operating Pressure:psiabar
Duty Cycle:ContinuousIntermittent
  If intermittent: minutes on- minutes off-
Other pumping information:

INSTALLATION REQUIREMENTS
Is the installation: new replacement
 If replacement:
   Manufacturer-
          Model-
           Size-incm
Pump Intake Pipe Diameter:incm
Pump Discharge Pipe Diameter:incm
Power Supply for Motor: Volts 1-phase3-phase50-Hz60-Hz
Will the pump motor need to be:SealedExplosion-ProofOther:
Where will the pump system be:SumpIn-TankPitOther:
Is There a System Drawing Available:YesNo
 If yes: Is the drawing available for us to review?YesNo
 If no: Can you provide a sketch of the system?YesNo
Other installation information:

What is the benefit you are looking for?
What problem would you most like to resolve?

Quantity of systems required for your application:
Thank You for considering EDDY PUMP!

Eddy Pump Co.
15405 Olde HWY 80
El Cajon, CA 92021
(619) 258-7020
Fax (619) 258-0305
E-Mail: info@eddypump.com