Heartland Pump Rental & Sales, Inc.

Heartland Pump Rental and Sales, Inc. - Distributor of Godwin Dri-Prime Pumps

Questionnaire

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Careful consideration must be given to the selection of the pump for each individual installation to ensure that the most suitable size is chosen. Correct selection of the pump is the main factor towards its satisfactory and economical operation. We are pleased to advise and recommend suitable equipment; but to do this to the best of our ability we must be given the following details:

1. Liquid to be pumped

(If other than water, give details - Including SG, viscosity, temperature and if solids present)

2. Power source required

3. If electric motor, give details of electricity supply

4. Whether portable or stationary

5. Dimensions (see diagram below)

6. If suction and delivery pipes exist, give diameter of bore;If not in existence, we would be pleased to supply

7. Gallons of water required per minute (GPM)

8. Rate of water flowing in to well in dry seasons (GPM)

9. Capacity of storage tank

10. Method of control proposed or required?

Dimensions as required in (5)
A
B
C
D
C
E
F