Springer Pumps Application Data Sheet

Application Info

* Any question ending with * must be filled out before moving on. This basic information is required in order to offer the best solutions for you application.

Please include all UOM (Units of Measure) where appropriate.

Your Reference: Project Name / Number

Is this a pump for a new application or a replacement for an existing pump?

NewReplacement

Does this require Sanitary / Hygienic construction?

YesNo

Describe the application

Replacement Pump Info

If this is a replacement:

I want a duplicate or similar pumpI want a new pump that eliminates problems with my existing pump

Provide from your existing pump: Brand, Model, Part Number etc.

If this information is not available, upload photos of the existing pump, nameplate, installation etc. using the upload option below.

Tell us the problems you want to eliminate:

If Brand, Model, Part Number are not known, upload photos / files to help us identify it.

Sanitary / Hygienic Info

Sanitation level (check all that apply)

Industrial
·FDA (food grade) elastomers not available
·Surface Finish: N/A
·Can be Cleaned-In-Place (CIP): NOFDA
·FDA elastomers: YES
·Surface finish: 125 Ra
·Can be Cleaned-In-Place (C.I.P.): NOHigh Sanitation
·FDA elastomers: YES

·Surface finish: 32 Ra

·Can be Cleaned-In-Place (C.I.P.): YES

·3A Approval: YES

·EHEDG Certification: YES

Pharmaceutical

·FDA elastomers: YES

·Surface finish: 20 Ra

·Can be Cleaned-In-Place (C.I.P.): YES

·3A Approval: YES

·EHEDG Certification: YES

Other (explain below)

Other

Do you need a pump capable of being cleaned by CIP?

No, we flush and/or COPYes

Would you like the pump to also be the CIP supply / return pump?

YesNo

CIP Fluid

CIP Flow Rate

UOM

CIP Temp

UOM

Sanitary Notes:

Springer Pumps

Toll Free Tel: 866-777-6060 Int'l: +001 484 949 2900

Toll Free Fax: 866-777- 6383 Int'l Fax: +001 215 721 1296

Email: info@springerpumps.com

Fluid Info - page 2

Any question ending with * must be filled out before moving on. This basic information is required in order to offer the best solutions for you application.

Please include all UOM (Units of Measure) where appropriate.

Fluid

What is the fluid?

Pumping Temperature

UOM

Viscosity at Pumping Temperature

UOM

If viscosity is unknown, compare it to a common liquid. (like water, paint, milkshake, molasses, caramel, cement)

Is the fluid. (Check all that apply)

Abrasive	An Emulsion
Shear sensitive / delicate	Other - explain in 'Fluid Notes' below

Please provide at least one of the following:

Weight	UOM
SG (Specific Gravity)
Density	UOM

Does the fluid contain solids

YesNo

Solids size

UOM

Solids content %:

When pumped, does the fluid need to flow at a minimum velocity to prevent solids from settling?

YesNo

What is that velocity?

UOM

Fluid notes - tell us any known challenges / problem characteristics

Springer Pumps

Toll Free Tel: 866-777-6060 Int'l: +001 484 949 2900

Toll Free Fax: 866-777- 6383 Int'l Fax: +001 215 721 1296

Email: info@springerpumps.com

Contact Info - Page 5

Any question ending with * must be filled out before moving on. This basic information is required in order to offer the best solutions for you application.

Please include all UOM (Units of Measure) where appropriate.

Contact Information:

First Name

Last Name

Email

Phone (include country code)

Extension

Contact Notes

Company

Address Line 1

Address Line 2

City

Country

State

Provinces

State/Province

ZIP/Postal Code

Company Notes:

Springer Pumps

Toll Free Tel: 866-777-6060 Int'l: +001 484 949 2900

Toll Free Fax: 866-777- 6383 Int'l Fax: +001 215 721 1296

Email: info@springerpumps.com

55 Gallon Drum	Mix Kettle - Bowl	Pail
Storage Tank	Sump	Tanker - Rail Car
Tote / IBC	Other: Explain in fluid supply notes

Plastic	Metal
Stainless Steel	With Liner

Filter / Strainer	Regulator
Valves	Other restrictions

Open Nozzle - Into an open tank - hopper - mixer	Spray nozzle, spray manifold
Depositor	Applicator, Manual or Robotic
Online / Inline blending	Other - explain in Discharge Notes:

No	Yes - Flow Control
Yes - Batching/Dispensing	Yes - Flow Control and Batch/Dispense