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STH Sales Order #:*
Job Name:*
Pump Type:* —Please choose an option—DieselElectric
Desired Rotation:* —Please choose an option—Horizontal Split Case Right HandHorizontal Split Case Left HandVertical Inline (rotation N/A)Diesel (Right Hand Rotation Only) Other
If you would like to illustrate the release rotation on your pump, please click the link below to download the image above. Once you have drawn out the proper rotation you can scan and attach it at the end of this form.
Download Release Rotation PDF
Maximum Municiple Suction Pressure:
Fire Pump Voltage:
Jockey Pump Voltage:
Ship to Address:*
City:*
State:* —Please choose an option—AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY
Zip Code:*
Contractor:*
Site Contact:*
Email:*
Cell:*
Additional Comments or Questions:
If you have illustrated the pump rotation please attach your scanned document here:
By completing this Fire Pump Release Form I have read and answered all of the above accurately and to the best of my ability.
Name*
Email*
