® FILE NO.: F43.

051
DATE: Oct. 24, 2003
SUPERSEDES: F43.051
DATE: June 15, 1997

FIRE PUMP SYSTEM – DIESEL

SHIP TO: SOLD TO:

Date Requested Delivery Date API/SAA Sales Order No API/SAA Purchase Order No Salesman No.

Customer Order No. Ship Via FOB PPD COL CHRG Federal Taxes Prov./State Taxes

… Exempt_ _ _ _ _ _ % … Exempt_ _ _ _ _ _ %
TAG/REF:
Item QTY. DESCRIPTION
1 … DIESEL FIRE PUMP
HSC (Horizontal Split Case) … Model ________________ ES (End Suction) … Model _____________
(HSC Right Hand rotation only)

Capacity: ___________ gpm Max. bhp ________ Approvals: … ULC … UL … FM

Boost: _______ psi Suction: _______ psi Flange Rating: … 125/125 … 125/250 … 250/250
2 … DIESEL ENGINE Mfg _____________________ Model_____________________
hp _______ rpm _________ Installation Altitude ___________ ft.
Ambient Room Temp. ________ °F Derated hp _______________
2A
… DIESEL ACCESSORIES
Fuel System Tank Size: … 120 US Gal. … 180 US Gal. … 240 US Gal. … 300 US Gal.
… 350 US Gal. … 500 US Gal.
Tank Wall: … Single Wall … Double Wall
Battery System: … 12 Volts … 24 Volts
Engine Heater: ______ Volts, _____ Phase, _____ Hz
3
… FIRE PUMP CONTROLLER Mfg _________________ Model ________________
For: … 12 VDC Battery … 24 VDC Battery Approvals: … ULC … UL … FM
Options: ____________________________________________________________________
____________________________________________________________________
4 … JOCKEY PUMP Mfg _________________ Model ________________
Capacity: _______ USgpm Boost: _________ psi Enclosure: … ODP (Std.)
Motor: ______ hp, ______ rpm, _____ Volts, ____ Phase, _____ Hz … TEFC
5 … JOCKEY CONTROLLER Mfg _________________ Model ________________
For _______ hp, _______ Volts, ______ Phase, ______ Hz Options:_______________
6 ACCESSORIES
… Minimum Fittings Max. W.P.: … Low 26-125 psi … Medium 126-200 psi … High 201-300 psi
… Hose Valve System: Header Size _________ Thread Standard ___________ … 125 … 250
… Main Relief Valve: Size ____________ … Angle (Standard) … Globe … 125 … 250
… Waste Cone (Enclosed): Size ___________________
… Eccentric Reducer: Size ____________________ Flange Rating: … 125/125 … 250/250
… Concentric Increaser: Size __________________ Flange Rating: … 125/125 … 250/250
7 … Special Features:

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 ® FILE NO.: F43.051
DATE: Oct. 24, 2003
SUPERSEDES: F43.051
DATE: June 15, 1997

ITEM QTY DESCRIPTION LIST PRICE TOTAL MULTIPLIER NET SELL WEIGHT
1 Diesel Fire Pump
2 Diesel Engine
2A Double Wall Adder
3 Fire Pump Controller
Options:

4 Jockey Pump
5 Jockey Controller
Options:

6 Accessories:
Minimum Fittings
Hose Valve System
Main Relief Valve
Waste Cone
Eccentric Reducer
Concentric Increaser
7 Special Features

TOTAL
SPECIAL REMARKS:
START-UP

FREIGHT

TOTAL SELL

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