354
Dixon Sanitary 2014
800.789.1718
Pump
Pump Check List
Connections
Clamp
Weld
Contact Name:
Company Name:
Date:
Phone:
Email:
Customer ID#:
Fluid:
Application Data
Flow (GPM):
Fluid Temp:
Other:
Elastomer
Buna
EPDM
Silicone
FKM
Motor Options
Variable Frequency Drive: (control/other info)
Phase
Single Phase 50Hz
Single Phase 60Hz
Three Phase 50Hz
Three Phase 60Hz
Small Cart
Large Cart
Preferred Connection Size (Inlet x Outlet)
BC114 (1-1/2" x 1-1/2")
BC214 (2" x 1-1/2")
BC216 (2" x 1-1/2")
BC516 (2-1/2" x 1-1/2")
BC218 (2" x 1-1/2")
BC318 (3" x 1-1/2")
BC328 (3" x 2")
BC428 (4" x 2")
Other:
Motor Data
Enclosure
Stainless Steel Washdown
Explosion Proof
Epoxy Painted Washdown
Totally Enclosed None Vented
Voltage
115/230
V
380/460
V
208-230/460
V
220/380/440
V
575
V
220/380/415
V
190/380
V
Cart Options:
Other Special Requests
(
For all replacement pump orders please include all known information about pump being replaced.)
Viscosity (CPS):
Total Dynamic Head:
Specific Gravity:
NPSH Available:
or PSI:
Combination:
Inlet:
Outlet:
Process Piping Information
Size / Qty of Elbows
/
Vertical pipe (size / length)
/
List check valves size / type
/
Size / Qty of Tees
/
Horizontal pipe (size / length)
/
Filters Qty / ∆P
/
BFVs Size / Qty
/
(
For best sizing please include a piping diagram)
Seal Type
D-seal
DG-seal (CER)
Add flush (F-seal)
DG-seal (SC)
DG-seal (TC)
Pump Options
Volute with drain (please specify location of drain and orientation)
V