Wasterwater & Pumping Driveshafts
Application Data Form

Driveline Service of Portland requires the following information to properly select your driveshaft. Please complete as much of the form below as is known or applicable at present. Our staff will contact you to determine any other necessary information.


Full Name:
Phone:
E-mail:
List me as: an individual
a business
Company:
Address:
City:
State:
Zip:
Fax:


Project reference:  
Type of Application:  
Power Source: DC motor AC motor  
  Other (describe)

Motor horsepower:   At What RPM:
Maximum overload motor output:  
Speed range of driveshaft:  
Motor shaft diameter:   Motor shaft elevation:
Pump shaft diameter:   Pump shaft elevation:
Number of pump impeller vanes:      
1st Steady bearing elevation:      
2nd Steady bearing elevation:    
Distance between motor and pump shafts:    
Distance between motor shaft & 1st Steady bearing:      
Distance between motor shaft & 2nd Steady bearing:      
Horizontal offset of shafts:   Distance: Degrees:
Anticipated operation, annually:   hours  
 
Additional Comments:

   
   

Call Us Toll-Free: 800-227-8608
Email Us:info@driveshafts.com
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