ACCU-PULSE
Application Worksheet

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Required Information

Pump Data Required
1
Pump Make
Model Number
Material Of Construction
   
2
Pump Type Simplex
Duplex
Triplex
Quadruplex
   
3
Stroke Action Single
Double
   
4
Volume A) Discharge Flow max. gph/lph
B) Stroke Per Minute
C) Max Pump Working Pressure psi/kpa
 
Liquid Data Required
1
Chemical Name  Concentration %
Specific Gravity
 Viscosity (c.p./ssu)
   
2
Max Pumping Temperature ºF ºC
 
System Data Required
1
System Operating Pressure psi/kpa
   
Pulsation Dampener Requirements
1
Preferred Connection Size
   
2
Port Connection Type NPT
BSPT
Flange
   
3
Material Of Construction Wetted
Bladder
Non Wetted
   
4
Canadian Registration Number    (CRN) required? Yes
No
   
Contact Information
Company
   
Contact Name
 
Phone number:
  (include area code)
  
Fax number:
  (include area code)
   
E-mail address