Pump Application Information

Company:
First Name:
Last Name:
Title:
E-mail:
Address:
City:
State:
Zip Code:
1st Phone:
2nd Phone:
Fax:
Country:
Description of Application: OEM or End User

PUMP SPECIFICATION

Dispensing: Ml/Cycle Cycles/Min
Metering: Ml/Min Gal/Hr
Preset Accuracy: %
Repeatability %

FLUID INFORMATION

Material Name: (i.e., adhesive, lubricant, reagent)
Is material similar to ( i.e., gel,paste,water-like...)?
Specific Gravity:
Viscosity: CPS
Temperature:

Does the viscosity change in relation to time and temperature? Yes No

Can it be heated? Yes No  if yes...
what temperature?
% of Solids:
Size of Solids:
Solid Type:
Shear Sensitive: Yes No 
Air Sensitive Crystal Forming: Yes No
Material Density: Gram/CC

Are there air bubbles inherently entrapped in it? Yes No

DRIVE REQUIREMENTS:

Electrical Voltage: VAC:Hz
Air Pressure: PSIG Max.

FLOW REQUIREMENTS:

Fixed:
Variable:
Presettable:
Against what pressure must the system work?
How is the material fed to the dispenser?
Negative   Suction or Gravity pressure Psi

QUANTITY OF PUMPS NEEDED:

Immediate:
Future:

COMMENTS:

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