Application Worksheet |
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| Please fill in the following information for the
proper sizing recommendation for your application. If there are multiple machines, fill
out one for each machine. If there are multiple motors on a machine, we need the info on
the individual motors, start sequence, and function of each motor. Print it out and fax it
back to 661-947-8764. |
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| YOUR NAME:_________________________ |
YOUR PHONE#:_________________ |
| YOUR FAX#:_________________________ | YOUR EMAIL:___________________ |
| YOUR ADDRESS:_____________________ | CITY:__________________________ |
| STATE:_____________________________ | COUNTRY:_____________________ |
| TYPE OF EQUIPMENT (lathe, pump, mill, etc.):_____________________________________ | |
| MACHINE BRAND (not motor):_______________ | MACHINE MODEL #:__________________ |
| COUNTRY OF MFR. : Of machine: ___________________ Of motor: _______________ | |
| NAMEPLATE RATINGS: Voltage: ________ Amperage rating:________ RPM: ________ | |
| HORSEPOWER:_________ KW: __________ KVA: ___________ | |
| SINGLE-PHASE VOLTAGE AVAILABLE: 220V_____ 440V______ 60HZ____ 50HZ____ | |
| 3-PHASE VOLTAGE REQUIRED: (220V, 380V, 440V, 575V)_____ 60HZ____ 50HZ____ | |
| PERCENT OF OUTPUT REQUIRED: 1-67% ____ 68-100% ____ | |
| DOES THIS HAVE A HEAVY STARTING LOAD? Yes ____ No ____ | |
| DOES THE MACHINE STALL OUT? Yes ____ No ____ | |
| DOES THIS START FREQUENTLY? Yes ____ No ____ | |
| DOES THIS INSTANT REVERSE? Yes ____ No ____ | |
| IS THIS BELT DRIVE? ____ DIRECT DRIVE? _____ | |
| DOES THIS HAVE A FLYWHEEL? ______ HYDRAULIC PUMP? ______ NEITHER? _____ | |
| IS MOTOR: Wye-wound? ____ Delta-wound? ____ | |
| 3-PHASE POWER REQUIRED MUST BE: Wye _____ Delta _____ Doesn't matter _____ | |
| ARE THERE 3-PHASE CNC OR OTHER ELECTRONIC CONTROLS (rheostat, variable frequency drive, SCR, dynamic braking, etc.) THAT ARE: Single-phase _____ 3-phase _____ | |
| DOES THE MACHINE HAVE REGENERATIVE BRAKING? Yes _____ No _____ | |
| DOES THE MACHINE HAVE 3-PHASE HEATING ELEMENTS? Yes _____ No _____ | |
| REMARKS:______________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ PHASE-A-MATIC,
INC. |
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