Type of pump = turbine, centrifugal, pro-cav, etc.  Type of drive =constant or variable speed

4. Pump Station Output (Q) as (USGPM):  ^Qdesign   ^Qmax   ^Qmin

5. Pump suction head (FT-H2O)

6. Pump discharge head (FT-H2O)

7. Static head at pump check valve outlet (FT-H2O)

8. Pipe material   Wall Thickness (Inches)  Hazen-Williams "C"

9. Length of forcemain or transmission pipeline (FT)

10. Line diameter (Inches) 

(If pipe varies, specify material, thickness and length for each section in notes below.)

11. Is there a well defined "knee" (a significant reduction in upslope) in the pipeline? Yes , No -
      If yes, specify elevation and distance from pump station.
     

12. Is there a head loss producing device (pressure reducing valve, heat exchange, etc.)
      near the end of the pipeline? If so, specify type

Provide a pipeline profile drawing if available

NOTES