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Stl. Bx. Bore	e.g. 4in
Stl. Bx. Depth	e.g 9in
Stud Size / No.
Stud Circle Diam.
Dist. First Obst.
Shaft / Siv. O.D.
Operating Temperature	e.g. 90F
Liquid	e.g. Water
PH Value
Concentration:
Specific Gravity	(in feet)
% Solids	(in feet)
Type Solids
Media Type
Solids Present?	ChooseYesNo
Does Fluid Set-up & Harden?	ChooseYesNo
Does Fluid Crystalize?	ChooseYesNo
Is Fluid Toxic or Dangerous?	ChooseYesNo
Is Fluid Corrosive?	ChooseYesNo
Operating Pressure:	e.g. 150 psi
Suction Pressure:
Discharge Pressure:
Rated BHP:
Max BHP:
Additional Info or Questions:
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