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LIQUID INFORMATION: * Viscosity: Specific Gravity: Vapor Pressure: 1 Hose:Particle size: Other Liquid Comments:OPERATING CONDITIONS:* Flow Rate:  * Inlet Pressure:1  * Differential Pressure:  NPSHA / NPIPA:1   Working Pressure: * Pumping Temperature:* Duty Cycle: * Altitude at installation: >> Maximum lift:* Equipment Location: VFD power:Volts:Phase:Hertz: Enclosure:Additional Information:GON SEPARATE PAGE -- DIAGRAM OF YOUR APPLICATION1 -- TO AID US HELP YOU%015* Do solids settle out:* Liquid Name:* Electrical Power:* From:* Phone: * Company: * Country:* Fax / E-mail: * Abrasive:  Insert: Hardness:vDefinition: ( Intermittent: 2 hour continuous followed by 1-hr min stop / Continuous: any other longer durations ) MX >> Lift Height:Discharge pipe size:>Blackmer, 1809 Century Ave., Grand Rapids, Michigan 49503, USAwww.blackmer.com%Particle concentration (% by volume):* Self-priming required? Page NumberEffeciveReplacesSection Sept 2009 HOSE PUMPAPPLICATION INFORMATION011-004Feb 2005011 * Climate:FIELD EXPERIENCE INFORMATION:ReadmeHPlease complete the data sheet as completely and accurately as possible.%*This file has been saved as 'Read-Only'. DWhen filled in, you will be prompted to save under a different name.%Proceed to Hose Pump Application FormHPh: (616) 241-1611 % Fax: (616) 241-3752 % E-mail: blackmer@blackmer.comIBlackmer cannot be held accountable for erroneous or missing information. 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