Gas Motive - Liquid Suction Form
1.
Your Name
2.
Company Name
3.
Email Address
4.
Telephone Number
5.
How Should We Contact You?
Email
Telephone
6.
Your Reference No:
Motive Conditions
7.
Primary Operating Gas / Steam
8.
Available Pressure (PSIG)
9.
Flow Rate (#/HR)
Suction Conditions
10.
Lift
11.
Fluid Type
12.
Temperature:
13.
Pressure:
14.
Flow Rate (LB/HR)
15.
Vertical Lift (for priming apps):
Discharge Conditions
16.
Pressure:
Construction Requirements
17.
Type of Connection
Pipe Thread
Flanged - Specify in Comments Field
Please Specify
18.
Construction Material
Carbon Steel
316SS
Bronze
PVC
PVDF
Please Specify
19.
Comments
Put Comments Here.
