Please carefully read and complete the following questionnaire. This form will assist us in proposing the best possible solutions to enhance your system performance.

First Name

Last Name

Company

Street Address

City

State

Zip or Postal Code

Country

Primary Phone #

Primary Email*

General Characteristics

Type

Internal Coating

ExternalCoating

Shell Material

Certifications

Final Installation Location(City, Country)

System Fluid

Maximum Working Temperature

°F

Minimum Working Temperature

°F

Maximum Working Pressure

PSI

Minimum Working Pressure

PSI

Fluid Port Connection

Operating Conditions

Corrosive, Non-Corrosive, Other

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Applications

(1) Energy Storage

Volume of Fluid Needed

GAL

Dual TIme

Charge-Discharge

Maximum Ambient Temperature

°F

Minimum Ambient Temperature

°F

Work Cycle Profile

Number of Stages, Time and Pressure

Maximum Working Pressure

PSI

Minimum Working Pressure

PSI

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(2) Pulsation Dampening

Flow Rate

GPM

Type of Pump

Piston, Gear, etc.

Number of Elements

Pistons, Gears, etc.

Pump Speed

RPM

Working Temperature

°F

Working Pressure

PSI

Pressure Peaks(High and Low)

PSI

Nominal Pipe Size

Inches

Maximum Allowable Pressure Drop

PSI

Minimum Allowable Working Pressure

PSI

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(3) Suction Stabilizing

Flow Rate

GPM

Type of Pump

Pistons, Gears, etc.

Number of Elements

Pistons, Gears, etc.

Pump Speed

RPM

Working Temperature

°F

Working Pressure

PSI

Nominal Pipe Size

Inches

Minimum Allowable Working Pressure

PSI

If Possible (Applicable to both sections 2 and 3)

Minimum Pump Frequency

Maximum Pump Frequency

Attenuating Bandwidth above 20 db

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(4) Surge Dampening

Valve Opening

Time of Operation (seconds)

Valve Closing

Enclose Schematic of Valve Closure Sequence, if Possible

Pump Start-Up Time

Seconds

Pump Shut-Off Time

Seconds - Enclose Schematic of Pump Start-Up/Shut-off Sequence, if Possible

Pipe Characteristics

Nominal Internal Diameter

Inches

Pipe Thickness

Inches

Pipe Length

Feet

Pipe Material

Maximum Allowable Pressure for Pipe

PSI

Hydraulic Characteristics

Pressure at the Pump*/Valve*

PSI - *Omit when Not Applicable

At Maximum Flow Rate

PSI

At 0 Flow Rate

PSI

Flow Rate

GPM

Maximum Allowable Working Pressure

PSI

Minimum Allowable Working Pressure

PSI

Please supply a schematic of system piping

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(5) Thermal Expansion

Total System Volume

Gal

System Fluid

Fluid Thermal Expansion Coefficient

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Notes