Company * First Name * Last Name * Department / Position Phone E-Mail * Street / Number Zip Code/Postal Code City * Country * Is This New Application For Replacement of Existing Unit? New applicationExisting unit Make Pump Model Pump Size Seal type Material of Construction Serial Number (For Rotech Pump) Fluid Details Pump Application DataSheet ❌ ❌ Type of Pump Pumping Fluid * Solid/SlurryClear Liquid(No Solid)SolidSlurry Solids Content In % Size of Solids mminch Specific Gravity Density (max.) kg/m3lb/gal Viscosity (max.) mm2/scStSt Vapour Pressure KpaBarPSI Suction Type Capacity Q Rated * US gpmM3/HRbphbpdlpmLPHLPSIMP GPM Total Head H at Q Rated * FeetmeterpsiKpabar Feet System NPSH a mfeet Temperature °CF Suction/Inlet Pressure psifeetbarmeter Suction TypeFlooded SuctionNegative Suction Driver Data Frequency 50 Hz60 Hz Voltage/Phase115/1PH208V230V/ 3PH380V460V575V Speed (RPM) Preferred Manufacturer Motor Standard (Type)NEMAIEC EnclosureTEFCTEXPODPWASHDOWN Variable Frequency Drive (VFD) compatibleYesNo Operating Temperature Other Material of Construction Casing IronStainless SteelCD4MCuAlloy 20Other Flange type ANSIDIN Flat face (FF)Raised Face (RF) ImpellerIronStainless SteelCD4MCuAlloy 20Other Shaft *SleeveSolid Sleeve Material SSCD4MCuAlloy20Other Solid Material 4140 SteelSSCD4MCuAlloy20Other Stuffing Box Cover IronStainless SteelCD4MCuAlloy 20Other Standard boreTaper boreBig bore SealingPackingMechanical Seal Mechanical SealSingle component sealDouble component sealSingle Cartridge sealDouble Cartridge seal API Flush Plan Base PlateCast IronFabricated steel CouplingSpacerNon-Spacer PaintMfg. standardUnpaintedOther Documentation Requirements Approval DrawingYesNo Certificate of ConformanceYesNo Hydrostatic TestYesNo WitnessNon-witnessed Material Test ReportYesNo Performance TestYesNo WitnessNon-witnessed PMI Test Report YesNo NPSH TestYesNo Vibration TestYesNo Mechanical Run TestYesNo
