PROJECT NAME _________________________________________________________

     Application is for ___ Pressure  ___ Vacuum?         Quantity of blowers required __________

• Pressure/Vacuum unit:
      ___ Inches of mercury, vacuum
      ___ Inches of mercury, absolute
      ___ Inches of water, gauge
      ___ Torr (mm of Hg)
      ___ Pounds per square inch, absolute
      ___ Millibar

• What is being pumped:
      ___ Air    ___ Gas (Specify type and if explosive) _________________________
      ___ Fumes (Specify type and if explosive)

• Required operating pressure ________

• Minimum allowable operating pressure ______

• Maximum allowable operating pressure ______

• Flow required at operating pressure (SCFM based on 70 Deg F, sea level, 76% relative humidity)
  _____  SCFM  _____  ACFM  _____  #/hour

• What is the inlet temperature and relative humidity?
  ________  Inlet Temperature Deg F   ________ % RH

• What is the inlet pressure?
  __________ ft  Elevation above sea level    _______  PSIA (Atmospheric pressure)
  For closed loop system, indicate ______ PSIG or ______ inches Hg.

• Environment Requirements (check those that apply)
  ____  Discharge air temperature limitations, if yes, specify _______ Deg F
  ____  Noise level requirement; if yes, specify ___________ dB
  ____  Corrosive elements ____ Water ____ Acid Fumes ___ Other, Specify ____________
  ____  Explosive area, specify conditions _________________________________________

• Pump Duty Cycle ___ Continuous ___ Intermittent If Intermittent, specify
  a. Start/Stop Frequency per hour/minutes/seconds _______ ______ _____
  b. Time vacuum is on: hour/minutes/seconds _______ ______ _____
  c. Time vacuum is off: hour/minutes/seconds _______ ______ _____

• Is pump down required __ Yes __ No

• System volume (cubic feet) ______________

• Desired pump down pressure ___________

• Air temperature at pump inlet 68 Deg F is standard
  ____ Standard other Deg F _______

• Altitude in feet "0 feet - sea level" is standard ____________ Other

• Is inlet filter required ___ Yes ___ No If yes,
  What type of contaminant? _________________________________________________
  Particulate (micron size) _____ Liquid _____ Both ______
  If liquid, specify liquid type _________________________________

• Motor Type (TEFC is standard)  Other specify  ______________
  Voltage Supply  3/60/200-230/460 or 3/50/190/380 is standard, if other, specify. Motors are suitable for operation at +/- 10% of 230/460 and 190/380.
  ________________________
  
  Efficiency _____ Standard   _____  High __ ___ Premium

• Simplex application ____ Duplex application _____

• Accessories Desired
  ___  Inlet or inline filter (suggested)  ______  Silencer ______ Filter Silencer
  ___  Relief valve (suggested)   _____  Pressure Gauge (suggested)
  ___  Temperature Gauge ____  Weather or sound baffled enclosure

• Gas Conditions (If applicable)

• AC Variable Frequency Drives
  If a variable speed drive is required, please provide the applicable information above for the minimum and maximum speed points.

Maximum RPM _____________ SCFM ________ mbar __________

Maximum RPM _____________ SCFM ________ mbar __________

AC Controller Open Loop ________ Closed Loop _________

Signal follower circuit ___Yes ___ No   If yes, 4-20ma ____ or 0-10 vdc _____

Drive enclosure requirement: ____ Chassis ____ NEMA 1 _____
Other, specify ________________

• How soon you require a reply? __________ (days)

• Please attach a sketch or additional information if required or desired.

Company Name ______________________________________________________

Address/City/State/Zip ___________________________________________________________

Contact Name ____________________________________________

*Provide all of the following and specify preferred type of reply

Telephone _____________________ Fax ____________________

email _________________________________________________

Thank you for sending your application to PEI