PUMP RFQ FORM (905)847-1544 info@kgogroup.com CONTACT INFORMATION   Company:   Job Title:     Contact Name:   Telephone:     Email:   Mobile:     Website:   Fax:     Street Address:   City:     Postal Code:   Province: [ Select One ] Alberta British Columbia Manitoba New Brunswick Newfoundland Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Northwest Territories Yukon Nunavut USA     Bid Due Date:   Spec Provided: YES      NO     Project Startup Date:                 PROCESS INFORMATION         Process Fluid:   Concentration %:     Flow Rate:   Discharge Pressure:     Temperature:   Active / % Solids:     Viscosity:   Specific Gravity:     Abrasives:   pH:     Shear Sensitivity:                 PUMP INFORMATION         Pump Type: - Diaphragm Metering Packed Plunger Mag-Drive / Centrifugal Progressive Cavity Peristaltic   Drive Type: - Solenoid Electric Motor Compressed Air     Inlet Size:   Outlet Size:     Inlet/Outlet Type: - NPT Flanged Hose Barb   Installation Config: - Flooded Suction Suction Lift     # Duty Pumps: - 1 2 3 4 5 >5   # Standby Pumps: - 1 2 3 4 5 >5     Suction Lift: - N/A (Flooded Suction) <1' 1'-2' 2'-5' 5'-10' 10'-20' 20'-50' 50'+                     MOTOR INFORMATION (Electric Motor)           HP: - 1/8 1/4 1/3 1/2 3/4 1 1.5 2 3 5 7 >7   RPM: - 900 1200 1800 3600     Enclosure: - ODP TEFC TENV Washdown Chemical Duty X-Proof   Footed: - Yes No     Voltage: - 115/230 VAC 230/460 VAC 575 VAC 12 VDC 24 VDC 90 VDC Vendor Recommend   Phase: - 1 3     Speed Control: - Yes No   SC Make/Model:                 OPTIONS/ACCESSORIES           Self-Degassing Head: - Yes No   Self-Priming: - Yes No     Flow Rate Control: - Manual Only Pulse Emitter Input Sensor/Probe Input 4-20mA Input   Level Sensor: - Yes No     Pulsation Dampener: - Yes No   Isolation Valves: - Yes No     Suction Lance: - Yes No   Injection Lance: - Yes No     Back Pressure Valve: - Yes No   Pressure Relief Valve: - Yes No     Anti-Siphon Valve: - Yes No   Calibration Cylinder: - Yes No     Water Meter: - Yes No   Flow Meter: - Gear Paddlewheel Magnetic Mass Meter Turbine Other                 Additional Details: (Include any details about the application, installation configuration or any other relevant information)