Blacoh - Inlet (Suction) Stabilizer Worksheet
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version of this form.
REQUIRED DATA
Full Name
Company Name
Shipping Address
City
State
Zip Code
Country
Phone
Fax
E-mail Address
What is your current need?
Select One
Immediate need - Please call now!
Current application - Send info & follow-up
Future Application - Send info
No Application - Send info for future use
How did you
hear about Blacoh?
Select One
AD - DESIGN NEWS
AD - INDUSTRIAL PRODUCT BULLETIN
AD - NEW EQUIPMENT DIGEST
AD - PUMPS & SYSTEMS
AD - WATER & WASTES DIGEST
AD - WATERWORLD
INTERNET - BUY USA.com
INTERNET - GLOBALSPEC.com
INTERNET - PETROPAGES.com
INTERNET - WATER ONLINE.com
INTERNET- KELLYSEARCH
WEB SEARCH - GOOGLE
WEB SEARCH - MSN
WEB SEARCH - YAHOO
WEB SEARCH - OTHER
TRADESHOW - WEFTEC
TRADESHOW - ICE
TRADESHOW - PUMP SYMPOSIUM
TRADESHOW - CHEM SHOW
TRADESHOW - AWWA
PRESS RELEASE
DISTRIBUTOR REFERRAL
CURRENT BLACOH CUSTOMER
If a Press Release, which magazine?
Select One
PR - AWWA JOURNAL
PR - CHEMICAL ENGINEERING
PR - CHEMICAL EQUIPMENT
PR - CHEMICAL PROCESSING
PR - CONTROL ENGINEERING
PR - CONTROL MAGAZINE
PR - EH&S PRODUCTS
PR - ENGINEERINGTALK
PR - ENVIRONMENTAL PROTECTION
PR - FLOW CONTROL
PR - HAZMAT MANAGEMENT
PR - INDUSTRIA
PR - INDUSTRIAL DISTRIBUTION
PR - INDUSTRIAL EQUIPMENT NEWS
PR - INDUSTRIAL NEWSROOM
PR - INDUSTRIAL PRODUCT BULLETIN
PR - INDUSTRIAL SAFETYTALK
PR - INDUSTRIAL WATERWORLD
PR - LABORATORYTALK
PR - NEW EQUIPMENT DIGEST
PR - PAINT & POWDER
PR - PAINTS & COATINGS
PR - PLANT ENGINEERING
PR - PLANT SERVICES
PR - POLUTION EQUIPMENT NEWS
PR - PROCESSING
PR - PROCESSINGTALK
PR - PUMP ENGINEER
PR - PUMP MAGAZINE
PR - PUMPS & SYSTEMS
PR - SUBCONTRACTINGTALK
PR - WATER & WASTES DIGEST
PR - WATERWORLD
PR - WORLD PUMPS
Pump Model:
Material Construction:
Pump Type:
Select One
Simplex
Duplex
Triplex
Quadraplex
Action:
Single
Double
Volume Per Stroke:
cubic inches
cubic centimeters
If volume per stroke is not known, A or B must be completed.
A.
Gallons/Liters Per Minute:
Stroke Per Minute:
B.
Bore Diameter:
inches
mm
Stroke Length:
inches
mm
Liquid Pumped:
Specific Gravity:
Temperature:
º
ont>
¼C
Viscosity:
System Operating Pressure:
PSI
BAR
Pump Inlet Pressure:
Lift:
inches of Mercury
Head:
feet
Inlet Pipe Diameter:
I.D.:
inches
mm
INLET STABILIZER DATA
Inlet Port:
inches
mm
NPT
BSP
Flange
Other:
Material of Construction:
Bladder:
Santoprene
Neoprene
Buna-N
EPDM
Hypalon
Silicone
Viton
Aflas
PTFE
Polyurethane
Wetted:
Polypropylene
PVDF
PVC
Carbon Steel
Alloy 20
Hast. C
Aluminum
Stainless Steel
Non-wetted:
Polypropylene
PVDF
PVC
Carbon Steel
Alloy 20
Hast. C
Aluminum
Stainless Steel
©2004 Blacoh Fluid Control, Inc. All Rights Reserved.
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or
comments.