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Distributor:__________________________________________________ Order No.: _________________________
Installing Contractor: _________________________________________ Phone: ____________________________
Sales Contact: ______________________________________________ Phone: ____________________________
Customer: ______________________________________________________________________________________
Location: _______________________________________________________________________________________
1. SYSTEM INFORMATION
Size of Wet Well:_______________________________________Manufacturer: _____________________________
Discharge from Bottom of Basin: ________________________Discharge Location:________________________
Inlet from Bottom of Basin: _____________________________Inlet Location: _____________________________
Type of Check Valves: __________________________________Type of Piping: ____________________________
Does System Have Suction Gauges? ❑ Yes ❑ No
Does System Have Discharge Gauges? ❑ Yes ❑ No
Liquid Being Pumped:_______________________Temperature (F°): __________ Pct. of Solid (%):___________
Is a Sketch or Photograph of System Available? ❑ Yes ❑ No
Any Additional Comments on System:______________________________________________________________
_______________________________________________________________________________________________
2. ELECTRICAL INFORMATION
Control Panel Part Number: _____________________________Panel Rated Amps: ________________________
Manufacturer: _________________________________________Voltage: _______________ Phase: ____________
Heater Size:___________________________________________Location of Panel to Wet Well: _______________
Incoming Line Voltage: _________________________________Actual? ___________________________________
Voltage to Pumps: _____________________________________Actual? ___________________________________
Type of Junction Box: __________________________________Manufacturer of Junction Box: ______________
Are Floats Installed in Wet Well? ❑ Yes ❑ No
Are Floats Wired for Proper Sequencing? ❑ Yes ❑ No
Is the Seal Leak Detection Hooked Up? ❑ Yes ❑ No
Any Additional Comments on Electrical: ____________________________________________________________
_______________________________________________________________________________________________
3. PUMP INFORMATION
Type of Pump:_________________________________________Serial Number of Pump: ____________________
Voltage of Pump: ________________ Phase: _______________RPM: _________________ Amps: ____________
Impeller Size:____________________ C.O.S. TDH: __________GPM: _________________
Voltage Supplied from Panel:____________________________Actual? ___________________________________
Actual Amperage (All Phases): Phase 1 Amps: ________ Phase 2 Amps: ________ Phase 3 Amps: ________
Define the Rotation of the Pump: ❑ Clockwise ❑ Counterclockwise
Method Used to Check Rotation: ❑ Viewed from the Top ❑ Viewed from the Bottom
Any Additional Comments on Pumps: ______________________________________________________________
_______________________________________________________________________________________________
4. ACKNOWLEDGE
Acknowledge that all information is accurate and proper procedures have been followed.
Customer: ___________________________________________________________________ Date: _____________
Start-up Technician:___________________________________________________________ Date: _____________
Send to Warranty Manager, 1101 Myers Parkway, Ashland, OH 44805
or Fax to 419-207-3344
or email to startupreport@hydromatic.com
or submit online at http://forms.pentairliterature.com/startupform/startupform.asp?type=h
START-UP REPORT
Suction Pressure Reading: __________________
Discharge Pressure Reading:________________
Are Floats Set to Engineer's Specs? ❑ Yes ❑ No
Are Heat Sensors Hooked Up? ❑ Yes ❑ No
If So, Please Attach.
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