Pump Data Sheet Continued

Suction Line

Tubing Size: (Inches)

Vertical Drop (Feet):

Total Elbows:

Valves:

Tees:

Note: Clamp connections are standard. If others required, specify

Discharge Valve: Butterfly

Horizontal Run:

Yes NoCasing Drain Required:

Discharge Line

Tubing Size:

Vertical Rise:

Horizontal Run:

Total Elbows:

Tees:

Valves:

ALL FIELDS ARE NOT REQUIRED COMPLETE FORM TO THE BEST OF YOUR ABILITY

Page 2

Ball Disk Check Other