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Project Design Request
Date of Request
Engineering Firm
Contact Name
Phone Number
Email Address
Project Name
Project Location
Public or Private Project
Stage of Project
Estimated Bid Date
Funding Source(s)
Is BABAA Compliance Required?
Yes
No
Is AIS Compliance Required?
Yes
No
Pump Application
Type of Liquid Being Pumped
Temperature of Liquid
PH of Liquid
Type of Pump(s) Desired
Flow Rate (GPM)
TDH (Head)
Static Head
Additional Flow Rates
Site Voltage
Phase
Wire Service
Number of Pumps
Installation Type (dry pit, wet pit, vertical, horizontal
Discharge Pipe Size
Inlet Pipe Size
Station Diameter
Station Depth
How will pumps operate: (VFD, DOL)
Motor Requirements (Explosion Proof, VFD Compatible)
Please list any other various items or accessories required such as Lifting Crane, Trash Basket, Auto-Dialer, Flowmeters, Valves etc.
Control Panel Requirements, if applicable, option list to follow
Additional Notes
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