Godwin
Dri-Prime Pumps
Application Data Questionaire
 
Application Data Questionnaire
Godwin Dri-Prime Centrifugal Pumps and Systems

 
Company:
Address
P.O. Box
City
Province
Postal Code
Country
Contact
Title
Copy To
Title
Telephone / Extension
Facsimile
E-Mail
Date of Request If request is of an urgent nature,
and an answer is needed now, 
please call us at (800) 563-1093.
We are available 24 hours a day
Date Due
Timing of Requirement
Location

Careful consideration must be given to the selection of equipment and systems for each specific requirement.
Please complete this preliminary Application Data Questionnaire with as many details as possible.

 
(1)  Project reference:
(2)  Rental or purchase:
(3) If rental, estimated duration:
(4)  Liquid to be pumped: 
(S.G., viscosity, temperature, solids/trash, any abrasion or corrosion, pH, etc.)
(5)  Diesel or electric (supply details):
(6)  Highway trailer or skid base mounting:
(7)  Nominal flow (usgpm):
(8)  Peak flow (usgpm):
(9)  Is stand-by equipment required?:
(10)  Hours of operation per week: 
(11)  Are automatic controls required? 
(low/high level floats, discharge pressure sensing/control):
(12) Suction point/source (e.g.: river, lake, manhole, lagoon, etc.)
(13)  Static suction head (suction lift or flooded suction):
(14)  Discharge layout (feet): 
     Horizontal: 
     Vertical: 
(15) Discharge point (e.g.: manhole, pressure vessel, forcemain, etc.)
(16) Any back pressure? (express in PSI):
(17)  Suction hose required (feet):
(18)  Discharge hose/piping required (feet):
(19)  Pumping equipment currently being used or considered? 
(please include maintenance experience, limitations and expectations where Dri-Prime
 centrifugal pumps and systems can improve this application or installation):

 
(20)  Please provide any additional details that will help us to better understand the requirements and your expectations:

'A'    feet (vertical - depth of wet well)
'B'    feet (vertical - lowest level to surface)
'C'    feet (vertical - surface to pump suction)
'D'    feet (horizontal - source to pump)
'E'    feet (horizontal - pump to discharge point)
'F'    feet (vertical - pump to discharge point)

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