PAGE __________ OF ______________

JOB NO. ___________________________ ITEM NO. _______________

PURCH. ORDER NO. _______________ DATE ___________________
INQUIRY NO_______________________ BY _____________________
REVISION ________________________ DATE __________________

APPLICABLE TO:

FOR ___________________________________________________________________________________ UNIT ________________________________________________

SITE __________________________________________________________________________________ NO. OF PUMPS REQUIRED ___________________________

SERVICE ______________________________________________________________________________ SIZE AND TYPE _____________________________________

MANUFACTURER ______________________________________________________________________ SERIAL NO. _________________________________________

NOTE:

PROPOSAL

PURCHASE

AS BUILT

INDICATES INFORMATION TO BE COMPLETED BY THE PURCHASER

BY MANUFACTURER

7
8

NO. MOTOR DRIVEN ______________________ OTHER DRIVER TYPE ____________________________________________________________________________

PUMP ITEM NOS _________________________ PUMP ITEM NOS ________________________________________________________________________________

10

MOTOR ITEM NOS _______________________

11

MOTOR PROVIDED BY ____________________ DRIVER PROVIDED BY __________________________ GEAR PROVIDED BY __________________________

12

MOTOR MOUNTED BY ____________________ DRIVER MOUNTED BY __________________________ GEAR MOUNTED BY __________________________

13

MOTOR DATA SHEET NO. _________________ DRIVER DATA SHEET NO ________________________ GEAR DATA SHEET NO ________________________

DRIVER ITEM NOS ______________________________ GEAR ITEM NOS ______________________________

14
15

CAPACITY @ PT (m3/h):

TYPE OR NAME OF LIQUID ________________________________________

16

@ MAXIMUM VISCOSITY _________ @ MINIMUM VISCOSITY _________

PUMPING TEMPERATURE (OC):

17

DISCHARGE PRESSURE (kPa)(BARG):

NORMAL ____________ MAXIMUM _____________ MINIMUM ____________

18

MAXIMUM ___________ MINIMUM ___________

SPECIFIC GRAVITY_________ MAXIMUM _________ MINIMUM _________

19

SUCTION PRESSURE (kPa)(BARG):

SPECIFIC HEAT _________________________ Cp (kJ/kgOC)

20

MAXIMUM ___________ MINIMUM ___________

VISCOSITY (Cp) __________ MAXIMUM __________ MINIMUM__________

21

DIFFERENTIAL PRESSURE (kPa)(BARG):

CORROSIVE/EROSIVE AGENTS _________________________

22

MAXIMUM ___________ MINIMUM ___________

CHLORIDE CONCENTRATION (PPM) _____________________

23

NPSH AVAILABLE (m) _____________________________________________

24

HYDRAULIC kW __________________________________________________

25

H2S CONCENTRATION (PPM) ____________________________

LIQUID

TOXIC

FLAMMABLE

OTHER ___________

_____________________________________________________________________

26

RATED CAPACITY (m3/h)

27

NPSH REQUIRED (m)

28

RATED SPEED (RPM)

HEATED

29

DISPLACEMENT (m3/h)

ELECTRICAL AREA CLASS _______

30

VOLUMETRIC EFFICIENCY (%)

31

MECHANICAL EFFICIENCY (%)

32

kW @ MAXIMUM VISCOSITY

33

kW @ RELIEF VALVE SETTING

34

MAXIMUM ALLOWABLE SPEED (RPM)

DUST

35

MINIMUM ALLOWABLE SPEED (RPM)

OTHER ___________________________________________________________

LOCATION

INDOOR

OUTDOOR

UNHEATED

UNDER ROOF

WINTERIZATION REQD

GROUP ____

DIV ______

TROPICALIZATION REQD

SITE DATA
RANGE OF AMBIENT TEMPS: MIN/MAX ______/________OC
UNUSUAL CONDITIONS

36

FUMES

SALT ATMOSPHERE

UTILITY CONDITIONS

37

ELECTRICITY

DRIVERS

HEATING

CONTROL

SHUTDOWN

VOLTAGE

__________

__________

__________

____________

HERTZ

__________

__________

__________

____________

PHASE

__________

__________

__________

____________

RETURN

DESIGN

MAX

38

CONNECTIONS

39

SUCTION

40

DISCHARGE

41

GLAND FLUSH

COOLING WATER INLET

42

DRAINS

TEMP C

__________

MAX______ __________

____________

43

VENTS

PRESS.(kPa)(BARG)__________

MIN_______ __________

____________

44

JACKET

SIZE

ANSI RATING

FACING

POSITION

SOURCE ________________________________________________________

45
46

INSTRUMENT AIR
PUMP TYPE:

PRESS (kPa)(BARG)

47

INTERNAL GEAR

TWIN-SCREW

VANE

48

EXTERNAL GEAR

THREE-SCREW

PROGRESSING CAVITY

49

GEAR TYPE

50

SPUR

51

OTHER ___________________________________________________________

MAX

MIN

____________

____________

AP1 676 POSITIVE DISPLACEMENT PUMPS - ROTARY

GOVERNING SPECIFICATION (IF DIFFERENT) ___________________

HELICAL

REMARKS: __________________________________________________________

PAGE __________ OF ____

JOB NO. ___________________________ ITEM NO. _______________
REVISION _________________________ DATE ___________________
BY _____________________

1
2 CASING

CASING ___________________________________________________________

MAXIMUM ALLOWABLE PRESSURE_________(kPa)(BARG) @_______ C

STATOR ___________________________________________________________

HYDROSTATIC TEST PRESSURE___________ (kPa)(BARG)

END PLATES ______________________________________________________

STEAM JACKET PRESSURE________________ (kPa)(BARG) @_______OC

ROTOR(S) _________________________________________________________

ROTOR MOUNT

BETWEEN BEARINGS

OVERHUNG

VANES ____________________________________________________________

TIMING GEARS

YES

NO

SHAFT ____________________________________________________________

BEARING TYPE

RADIAL _______________

THRUST___________

SLEEVE(S) ________________________________________________________

LUBRICATION TYPE:

10
11

CONSTANT LEVEL OILERS

GLAND(S) _________________________________________________________

PUMPED FLUID

RING OIL

OIL MIST

BEARING HOUSING _______________________________________________

EXTERNAL

OIL FLOOD

GREASE

TIMING GEARS ___________________________________________________

12

LUBRICANT TYPE_________________________________________________

SPECIAL MATERIAL TESTS (2.9.1.3) ________________________________

13

MECHANICAL SEALS

LOW AMBIENT TEMP. MATERIALS TESTS (2.9.5) ____________________

14

MANUFACTURER AND MODEL _________________________________

15

MANUFACTURER CODE _______________________________________

16

API 682 SEAL FLUSH PAN _________________________________________

CERTIFICATION OF MATERIALS

17

API 682 SEAL CODE ______________________________________________

FINAL ASSEMBLY CLEARANCES

18

PACKING:

SURFACE AND SUBSURFACE EXAMINATIONS

19

LANTERN RING

MANUFACTURER AND TYPE ___________

COMPLIANCE WITH INSPECTORS CHECKLIST

NO. OF RINGS _____

RADIOGRAPHY ________________________________________________
ULTRASONIC __________________________________________________

20
21

DIRECT-COUPLED

22

COUPLING MANUFACTURER ______________________________________

V-BELT

GEAR

MAGNETIC PARTICLE __________________________________________

LIQUID PENETRANT ___________________________________________
CLEANLINESS PRIOR TO FINAL ASSEMBLY

23
24

MOTOR

25

MANUFACTURER _________________________________________________

26

TYPE ____________________________________________________________

TESTS

27

FRAME NO. ______________________________________________________

HYDROSTATIC

28

CONSTANT SPEED _______________________________________________

MECHANICAL RUN

29

VARIABLE SPEED ________________________________________________

PERFORMANCE

30

kW_______________________________ RPM __________________________

NPSH

31

VOLTS___________________________ PHASE ________________________

32

HERTZ___________________________ SERVICE FACTOR ______________

DOMESTIC

33

ENCLOSURE _____________________________________________________

OUTDOOR STORAGE MORE THAN 6 MONTHS

34

__________________________________________________________________

35

STEAM TURBINE _________________________________________________

36

OTHER (SEE SEPARATE DATA SHEETS) ___________________________

HARDNESS OF PARTS, WELDS & HEAT AFFECTED ZONES

38 NAMEPLATE UNITS

CUSTOMARY

RELIEF VALVES BY PUMP MFGR

PUMP VENDOR

SI

INTERNAL

40 PIPING FOR SEAL FURNISHED BY:

41

REQD

PUMP ______________

WIT

EXPORT

OBS

EXPORT BOXING REQD

BASE _____

BY PUMP MANUFACTURER

37

39

FURNISH PROCEDURES FOR OPTIONAL TESTS

GEAR ____

DRIVER ______

SUITABLE FOR EPOXY GROUT

EXTENDED FOR __________________________________________________

EXTERNAL

SUBSOLE PLATES BY PUMP MANUFACTURER

DRAIN-RIM

DRAIN-PAN

OTHERS

42 PIPING FOR COOLING/HEATING FURNISHED BY:

43

PUMP VENDOR

44

PROVIDE TECHNICAL DATA MANUAL

OTHERS

45 REMARKS ___________________________________________________________________________________________________________________________________
46 ______________________________________________________________________________________________________________________________________________
47 ______________________________________________________________________________________________________________________________________________
48 ______________________________________________________________________________________________________________________________________________
49 ______________________________________________________________________________________________________________________________________________
50 ______________________________________________________________________________________________________________________________________________
51
HT/API676/0506-01