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First and last name
Company
Address
Phone
Email
Fluid name ( and concentration)
Fluid temperature (°C)
Place temperature (°C)
Specific gravity
Viscosity (cSt)
Particles
YES
NO
Particle size (mm)
Particle content
Weight %
Volumetric %
Particle character
Hard abrasive (sand, glass, metal...)
YES
NO
Hard non.abrasive (wood, plastics...)
YES
NO
Soft (organic, leafs, fibers...)
YES
NO
Flow (flow for which pump has to be )
Differential head (m)
Conditions on suction side
Pump is flooded
YES
NO
Suction depth (m) (put 0 if flooded)
ATEX
YES
NO
ATEX zone classification
