Pump Application Form

COMPANY INFORMATION

Company *

Contact Name *

Phone *

E-mail Address *

Mailing Address *

City *

State *

Country *

APPLICATION INFORMATION

Recirculation or Distribution *

Type of Chemical & Concentration *

Operating Temperature *

Estimated Daily Operation (hours)

Minimum Flow Rate *

Maximum Flow Rate *

Fluid Pressure Required (at point of use) *

Fluid Connection Size & Type

Size & Length of Air Supply Tubing

Remote Exhaust Required *

Pulse Dampening Required *

Cycle Counting *

Leak Sensing *

CDA or N2 *

Specify Other

RETROFIT APPLICATIONS ONLY

Do you have Retrofit? *

Yes

Pump Manufacturer and Model *

Tool Manufacturer and Model *

Available Footprint (LxWxH) *

Approximate Pump Life *

By providing the following information, you will assist Trebor in making an informed pump recommendation.

Configuration of Fluid Plumbing

Schematic of plumbing layout, fluid travel distance, number and type of fittings, valves, filters, pressurized tanks and lift distance.

External Control of Pump

If applicable, please describe existing pump controller in detail – electronic or pneumatic, end-of-stroke or timed oscillation, manufacturer and model, type of plc, type of solenoid valve, how pump is currently wired to controller, cycle rate alarms, leak detection, can parameters on controller be changed, etc.

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By providing the following information, you will assist Trebor in making an informed pump recommendation.