Pump Questionnaire

Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Requirement

Water Source

If pumping from a bore

Internal Bore Diameter

Type of Casting

Fully Cased

Is the casting slotted?

Standing Water Level: mtrs

Draw Down (at rated flow): mtrs

Aquifer Depth: mtrs

Bore Test (6 hrs min)

Rated Flow: L/M

If powered by generator, please state:

Required to operate

Application ( the letters below relate to those on the diagram)

Suction Pipe (existing) A. Height from Water to pump: metres B. Pipe Length: meters

Type

Diameter of Pipe: mm

Class of Pipe

Deliver Pipe (if existing)

C. Pipe length: metres D. Height from pipe to discharge: metres E. Demand Pressure: Kpa

Type

Diameter of Pipe

Class of Pipe

Demand Type

Output

Area to irrigate Ha/Acer

Application Rate Per cycle or mm per day

Are there any other details we should take into account?