COMPANY INFORMATION
1. NAME:
PHONE:
ADDRESS:
FAX:
EMAIL:
2. Customer Drawing Provided?
YES
NO
3. Prototype (s):
QTY:
TIMING:
4. Annual Volume Requirement:
1st Year
2nd Year
3rd Year
4th Year
LIFE OF PROGRAM:
APPLICATION:
5. Engine Make:
6. Engine Size:
7. Type of fluid to be pumped:
8. Delivery requirement:
GPH:
At what pressure:
9. Filter requirement:
• Cylindrical Solid State pump models have integral 74 micron filters.
• Solid State models need to have an inline 74 micron filter installed ahead of the pump.
Filter size to be used:
10. Mounting information/position of pump relative to fuel supply:
a. Pump installation height relative to minimum fuel level:
b. Pump mounted above:
below:
c. Vertical:
Horizontal:
mounting.
(We recommend inlet mounted down/lower than outlet.)
11. Temperature environment of fuel and pump:
12.Voltage Required: 12V
24V
Polarity: Neg.
Pos.
Minimum start voltage:
13. Suction height required:
Shutoff pressure required:
14. Is check valve required (Keep flow of fuel from returning to take when pump is off)?:
Yes:
No:
15. Size fitting required (1/8-17 NPTF is standard):
16. Type connector (Standard is 6" nominal with 1/4" ring terminal on negative lead; positive lead is
stripped 1/4".
17. Label required: Standard:
UL Recognized:
18. Remarks:
