Appendix_B_-_Pump_Bearing_Line_Shaft_Report.pdf
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- Attached to
- Bethel Temple Well (W-21) Rehabilitation Project
- Solicitation number
- 40945
- Issued by
- Sacramento County, San Francisco City, California
About this file
The document is a Well Pump & Appurtenances Inspection Report form used for documenting the detailed technical condition of pump equipment, associated with the Bethel Temple Well (W-21) Rehabilitation Project in California. The form is designed to provide a comprehensive assessment of various pump components, including bowl information, motor details, head and parts condition, and additional equipment like line shafts, couplings, and other parts. The inspection report includes multiple sections for systematically recording the status of each component, with spaces to note manufacture, model, size, stages, number of valves, and specific condition ratings for different parts.
The form allows for meticulous documentation of technical specifications and condition assessments, including detailed evaluation of impellers, bearings, shafts, sleeves, couplings, and other critical pump elements. It provides a structured approach to inventory and assess the condition of well pump equipment, with sections for marking the status of components as good, bad, or potentially rebuildable. The comprehensive nature of the report suggests it is a critical tool for maintenance, repair, and potential replacement decision-making in the context of the well rehabilitation project, enabling precise tracking of equipment condition and potential maintenance requirements.
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Text version
MANUFACTURE: SIZE:
IMPELLER #:
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
REBUILDABLE? ______
PICTURES
MOTOR W/ PUMP? ________ BONNET W/ MOTOR? ___________SERAIL #: ______________ MODEL #:_____________
MANUFACTURE: __________________ CD: _________ DRIVER BORE: __________ BUSHING SIZE: _________ X _________
KEY WAY: _____________ H.P. __________ R.P.M _________ VOLTS: __________________ AMPS: _________________
PHASE: _______ FRAME: _______ NUMBER OF LEGS: ___________ MEG OHMS: _______ PREM.EFF.? ________
REMARKS: _________________________________________________________________________________________________
REMARKS: _________________________________________________________________________________________________
PARTS BUCKET W/ PUMP? _______ SPECIFY: ______________________________________________________________
PACKING BOX MAKE: _________________ SIZE: _________ GOOD BAD REBUILDABLE? ___________
2PC. SHAFT? _____ SIZE: _______ X ________ MATERIAL: _________________ THRDS: _______ CONDITION: __________
HEAD SHAFT: _______X ______ MATERIAL: ____________ THRDS: _______ KEY WAY: ______ CONDITION: __________
LANDING NIPPLE SIZE: ________ X ________ BUTT NPT CONDITION: ___________________ BAD
DISCH. HEAD MAKE: ___________________ DISCH. SIZE: ____________ BASE SIZE: ___________ BAD
HEAD AND PARTS
MOTOR REPORT
IMP SKIRT O.D
REMARKS:
BEARING CONDITION
BEARING CLEARANCE
BEARING WARE O.D.
MFG. BEARING
TOTAL CLEARANCE
BOTTOM:________________________
DISCHARGE SIZE: ________ BUTT NPT SUCTION SIZE: _________ BUTT NPT PUMP O.A.L: ________
WARE RING I.D.
CASTING CONDITION
STAGE
CUSTOMER: ________________________ WELL NAME: _________________________ JOB #: __________ DATE:__________
SHAFT SIZE: ___________ X ___________ TURN DOWN: _____________ THREADS: _______________ PIN LINE: _________
WELL PUMP & APPURTENANCES INSPECTION REPORT
BOWL INFORMATION
CONDITION OF BOWLS
_______________________ MODEL:
__________TOP TRIM:
___________STAGES:________________________________
__________NO. OF VALVES:__________
TOTAL PUMP SETTING: ______________
PICTURES
SLEEVES ON SHAFTS? _______ SIZE: ________ STICK-UP: ________ X ________ REMARKS: _________________
SIZE: ______ X ______ THRDS: ______ MATERIAL: _____________ TOTAL: _______ # GOOD: ________ #BAD: _______
SIZE: ______ X ______ THRDS: ______ MATERIAL: _____________ TOTAL: _______ # GOOD: ________ #BAD: _______
SIZE: ______ X ______ THRDS: ______ MATERIAL: _____________ TOTAL: _______ # GOOD: ________ #BAD: _______
REMARKS: __________________________________________________________________________________________________
C/O'S? ________ SPECIFY: ___________ X ___________ MATERIAL: ________________ CONDITION: _____________
SIZE: ________ THRDS: ________ MATERIAL: _____________ TOTAL: _______ # GOOD: ________ #BAD: ______
SIZE: ________ THRDS: ________ MATERIAL: _____________ TOTAL: _______ # GOOD: ________ #BAD: ______
SOUNDING TUBE W/ PUMP? _______ SIZE: ________ X ________ TOTAL: ________ # GOOD: ________ #BAD: _______
AIR LINE W/ PUMP? _______ SIZE: _______ MATERIAL: ___________ GOOD BAD REMARKS: _____________
RETAINER SIZE: ________ X________ TYPE: __________ TOTAL: _______ # GOOD: ______ #BAD: ______ # REBUSH: ____
REMARKS: __________________________________________________________________________________________________
CUSTOMER: ________________________ WELL NAME: _________________________ JOB #: __________ DATE:__________
SUCTION
COLUMN PIPE
OTHER SIZE: ________ X _________ BUTT NPT TOTAL: _______ # GOOD: ________ #BAD: _______
PIPE SIZE: _________ X _________ BUTT NPT TOTAL: _______ # GOOD: ________ #BAD: ________
STRAINER W/ PUMP? ______ SIZE: ______ MATERIAL: __________ GOOD BAD REMARKS: ______________
PIPE SIZE: _________ X _________ BUTT NPT TOTAL: _______ # GOOD: ________ #BAD: ________
OTHER SIZE: ________ X _________ BUTT NPT TOTAL: _______ # GOOD: ________ #BAD: _______
REMARKS: __________________________________________________________________________________________________
LINE SHAFTS
COUPLINGS
OTHER PARTS
REMARKS: __________________________________________________________________________________________________
OTHER SIZE: ________ X _________ BUTT NPT TOTAL: _______ # GOOD: ________ #BAD: _______
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