Requirements form for solar water pumping systems

Dati del cliente (Customer’s data)

Nome (name) _________________________________________________________________________

Cognome (family name) __________________________________________________________________

Azienda (company) ______________________________________________________________________

email* _________________________________________________________________________________

Telefono (phone) ________________________________________________________________________

Indirizzo Città (city address) ______________________________________________________________

Via (Street) _____________________________________________________________________________

Stato (Country) __________________________________________________________________________

Profilo tecnico (technical profile)

Portata giornaliera daily flow ratio _________________________________ (m^3/giorno) (m^3/day)

.....oppure... portata richiesta (or.. required flow ratio) ____________________________(m^3/h)

Prevalenza totale (total head) _________________________________________________________(m)

Lunghezza tubazioni (Lenght of pipes) _________________________________________________ (m)

Sezione dei tubi (diameter of pipes) _________ __________________________________________ (in)

Lunghezza cavo(cable lenght) _________ _____________________________________ __ __ __ _(m)

Tipologia di pompa (Pump type)

Pompa sommersa (Submersible borehole pump)

Pompa di Superficie (Surface pump)

Luogo di installazione (installation site)

Note o richieste particolari (notes or special requirements)

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