Barnes 4SE-HL Series Installation And Operation Manual page 27

Submersible non-clog pump
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A Crane Co. Company
Pump Owner's Name: __________________________________________________________
Address: ____________________________________________________________________
Location of Installation: _________________________________________________________
Contact Person: __________________________________Phone: _______________________
Purchased From: _____________________________________________________________
Pump Model #: ___________________ Serial #: _____________________________________
Part #: __________________________ Impeller Diameter: ____________________________
Voltage: _________ Phase: _____ Ø
Full Load Amps: ___________________ Service Factor Amps: __________________________
Motor Manufacturer: ___________________________________________________________
Control panel manufacturer: _____________________________________________________
Model/Part number: ____________________________________________________________
Number of pumps operated by control panel: ________________________________________
Short circuit protection? YES___ NO___
Number and size of short circuit device(s): ___________
Overload Type: _____________ Size: ______________
Do protection devices comply with pump and motor Amp rating? YES___ NO___
Are all electrical and panel entry connections tight? YES___ NO___
Is the interior of the panel dry? YES___ NO___
Liquid level Control Brand and Model: ______________________________________________
All Pumps
Type of equipment: NEW___ REBUILT___ USED___
Condition of equipment at Start-Up: DRY___ WET___ MUDDY___
Was Equipment Stored? YES___ NO___
Liquid being pumped: __________________
Supply Voltage/Phase/Frequency matches nameplate? YES___ NO___
Shaft turns freely? YES___ NO___
Direction of rotation verifi ed for 3Ø motors? YES___ NO___
Debris in piping or wet well? YES___ NO___
Debris removed in your presence? YES___ NO___
Pump case/wet well fi lled with liquid before startup? YES___ NO___
Is piping properly supported? YES___ NO___
Non-Submersible Pumps
Is base plate properly installed / grouted? YES___ NO___ N/A___
Coupling Alignment Verifi ed per I&O Manual? YES___ NO___ N/A___
Grease Cup/Oil Reservoir Level checked? YES___ NO___ N/A___
START-UP REPORT
General Information
Nameplate Data
Hertz: ____________Horsepower: _______________
Controls
Type: _________________________________
Pre-Startup
Length of Storage: ______________________
Liquid Temperature: _____________________
27
Amp rating: ___________________
Amp rating: ___________________

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