Franklin 2007 Manual Do Utilizador
RMA No. _____________
INSTALLER’S NAME ___________________________
OWNER’S NAME _________________________________
ADDRESS ___________________________________
ADDRESS ______________________________________
CITY __________________ STATE_____ ZIP________
CITY ____________________ STATE_____ ZIP________
PHONE (____) _____________ FAX (____) _________
PHONE (____) _____________ FAX (____)____________
CONTACT NAME ______________________________
CONTACT NAME ________________________________
WELL NAME/ID _______________________________
DATE INSTALLED __________ DATE FAILED__________
WATER TEMPERATURE ________ °F or ________ °C
Motor:
Motor No. __________________ Date Code ___________________ hp ________ Voltage _________ Phase ______
Pump:
Manufacturer _________________ Model No. _________ Curve No. _________ Rating: ______ gpm@______ft TDH
NPSH Required ___________ ft NPSH Available_________ ft Actual Pump Delivery__________gpm@ ______ psi
Operating Cycle ______________ON (Min/h) _________________ OFF (min/h) (Circle Min or h as appropriate)
YOUR NAME ___________________________________________________________ DATE ______/______/______
WELL DATA:
Total Dynamic Head ________________ft
Casing Diameter __________________ in
Drop Pipe Diameter ________________ in
Static Water Level __________________ft
Drawdown (pumping) Water Level _____ft
Check Valves at _________ & _______ &
_________ & _______ ft
❑ Solid ❑ Drilled
Pump Inlet Setting _________________ft
Flow Sleeve: ___No____Yes; Dia. _____in
Casing Depth ______________________ft
❑ Well Screen ❑ Perforated Casing
From_____to_____ft & ______to______ft
Well Depth ________________________ft
TOP PLUMBING:
Please sketch the plumbing after the well head
(check valves, throttling valves, pressure tank, etc.)
and indicate the setting of each device.
(check valves, throttling valves, pressure tank, etc.)
and indicate the setting of each device.
Form No. 2207 8/00
Submersible Motor Installation Record