Packaged Pumping Stations Customer Questionnaire

Packaged Pumping Station Diagram

Scheme Name / Ref
Contact Name
Contact Email
Site Address
Contact Number
24 hr Storage Required?
Required chamber volume (if known)	Litres 24 hours relates to volume under incoming invert
Pumping capacity required	Litres/Sec
OR number/type of property/max inhabitants/drainage area in m2
Being pumped:
Inlet Height (A)
Pumping Height (B)
Pumped Distance (C)
Rising Main
Rising Main Size
Rising Main Bends
Power Supply
Access Cover Loading
High Level Alarm
Distance of Control Panel to Station
Control Panel Mounted
Kiosk Required
Number of Pumps
Other Requirements
	You can now either print out the form by clicking the 'Print' button and fax it to us on 02380 660221 or you can send the form electronically to us by clicking the "Send" button.

Pumpseal Unit 1, Test Valley Business Centre,
Test Lane, Nursling, Southampton, Hampshire. SO16 9JW
Tel 02380 660122 Fax02380 660221 E: sales@pumpsealuk.co.uk