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Company(*)
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Address(*)
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Postcode(*)
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City(*)
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Country(*)
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Name(*)
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Function(*)
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Telephone
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Fax
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e-Mail(*)
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Liquid
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Liquid Temperature [°C]
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[°C]

Flow needed [m3/h]
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[m3/h]

Delivery head (height) [m]
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[m]

Dynamic loss (resistance piping) [m]
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[m]

Suction pressure (NPSH) [m]
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[m]

Self-priming? [m]
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If yes >> appendix

*If yes, then how much [m]
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[m]

Specific weight [kg/m3]
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[kg/m3]

Viscosity [MPa.s]
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[MPa.s]

Solid particles [%]
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[%, grootte]

Explosion protected execution?
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If Yes >> Appendix

Operational hours [per day]
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[year]

Remarks
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(*)

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