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B. EQUIPMENT INSTALLATION RECORD
*Record the following details at the time of the installation and retain for future references:
A. INSPECTION-RECEIPT OF EQUIPMENT
Examine equipment at the time of receipt. Check that the power cable is not cut or damaged, and that all
equipment is correct for the installation. Handle the pump, cable and motor carefully. This is very important
because of the precise alignment of the assembly and the vulnerability of the cable. Report any damages or
shortages immediately to the freight carrier agent and make notes on the freight bill of lading. This will facilitate
a satisfactory and prompt processing of a claim adjustment.
2
PUMP DATA________________________________________________________
Manufacturer____________________________________________
Model Number___________________________________________
Serial Number____________________________________________
Date of Installation________________________________________
PUMP SETTINGS____________________________________________________
Well Casing Inside Diameter_________________in.
Well Depth
_________________ft.
Size of Drop Pipe(Riser)
_________________in. length_________________ft.
Standing Water Level
_________________ft. below ground
Depth to Lowest Perforation
_________________ft.below ground
Number of Check Valves
_________________
Power Cable Size_________________in. length_________________ft.
Length of Air Line
_________________ft.
MOTOR DATA______________________________________________________
Maunfacturer____________________________________________
Horsepower______________________________________________
Voltage/Phase/Cycle________/_________/_____________________
Full Load Amperage______________________________________
Motor Size______________________________________________
Model__________________________________________________
Serial Number-Date Code__________-________________________
Pump Capacity and Head___________________________________
Installed by______________________________________________
Address_________________________________________________
Phone No_______________________________________________