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SECTION 14: Appendix
Record of Installation
Installer
Address
City
State
Zip
Phone
Fax
Who to contact?
Owner
Address
City
State
Zip
Phone
Fax
Who to contact?
Installation
Well Identification
Water Temperature
Date Installed
Signature
Pump Information
Model
GPM
@ft. TDH
PSI
Date code
Motor Nameplate Information
Manufacture
Model
HP
Voltage
Phase
Max Amps
Date code
Serial Number
VFD (Variable Frequency Drive)
Information
Drive Manufacturer
Model Number
❏
Input Filters
❏
Output Filters
Down Pipe Dia.
Flow Sleeve Dia.
Perforated Casing
From
To
Pump Inlet depth
Casing Dia.
Static Water Level.
Total Dynamic Head
Drawdown Water Level.
Check Valve Locations
Well Depth
Casing Depth
Well Screen
From
To
Содержание P42B0007A2-01
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