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SERVICE
ENTRANCE
Power Supply:
Cable: Service Entrance to Control ____________ft_______ AWG/MCM ❑ Copper ❑ Aluminum
❑ Jacketed ❑ Individual Conductors
Cable: Control to Motor ____________ft________ AWG/MCM ❑ Copper ❑ Aluminum
❑ Jacketed ❑ Individual Conductors
Transformers:
kVA __________ #1 __________ #2 __________ #3
Initial Megs
(motor & lead) T1________T2_______T3________
Final Megs
(motor, lead & cable) T1______T2______T3______
Incoming Voltage:
No Load L1-L2______ L2-L3_______L1-L3_______
Full Load L1-L2______ L2-L3_______L1-L3_______
Running AMPS:
HOOKUP 1:
Full Load L1______L2_______L3_______
% Unbalance______
HOOKUP 2:
Full Load L1______L2_______L3_______
% Unbalance______
HOOKUP 3:
Full Load L1______L2_______L3_______
% Unbalance______
Ground Wire Size ___________________AWG/MCM
Motor Surge Protection ❑ Yes ❑ No
Variable Frequency Drives:
Manufacturer_________________ Model ______________ Output Frequency: _________ Hz Min _________ Hz Max
Cooling Flow at Min. Freq. ___________________________ Cooling Flow at Max. Freq.________________________
Approved Overload: ❑ Built-in ________ ❑ External Model: (per above) ❑ Cables: (per above) Set Amps __________
Start Time ____________sec Stop Mode ❑ Coast __________sec ❑ Ramp __________ sec
❑ Output fi lter ___________ ❑ Reactor _______________% Make __________ Model ___________ ❑ None
Maximum Load AMPS:
Drive Meter Input Amps Line 1 __________ Line 2 __________ Line 3 __________
Drive Meter Output Amps Line 1 __________ Line 2 __________ Line 3 __________
Test Ammeter Output Amps Line 1 __________ Line 2 __________ Line 3 __________
Test Ammeter Make ________________________ Model ________________________
Control Panel:
Panel Manufacturer______________________________
Short Circuit Device
❑ Circuit Breaker Rating________Setting_____
❑ Fuses Rating___________ Type__________
❑ Standard ❑ Delay
Starter Manufacturer_____________________________
Starter Size ___________________________________
Type of Starter ❑ Full Voltage ❑ Autotransformer
❑ Other:___________Full Voltage in _____sec
Heater Manufacturer_____________________________
Number_____________Adjustable Set at _______amps.
SubMonitor/Subtrol-Plus ❑ No ❑ Yes
Registration No. ________
If yes,
Overload Set? ❑ No ❑ Yes Set at _______amps.
Underload Set? ❑ No ❑ Yes Set at _______amps.
Controls are Grounded to:
❑ Well Head ❑ Motor ❑ Rod ❑ Power Supply
Submersible Motor Installation Record