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(Agency) Division: Responsibility Center Code: No. : ___________ Office: Equipment ________________________ Date: March 29, 2022
Stock No. Item Description Unit Quantity Status of Stock
Submersible Deepwell Pump SP5A-21, 21 stages, rated to deliver 3.0 lps, 130m Total Dynamic Head, constructed with stainless Steel Casing, Impellers and Shaft, with built-in check valve and unit 2 1 1/2 in. NTP Discharge Port, coupled to Submersible Electric Motor 5HP, 230 Volts, 1 phase, 60 Hz, Water Lubricated with Control Box.
Purpose: For use in Water System at Resettlement Site.
Inquired by: Status Provided by:
Signature: Signature: Printed Name: ENGR. ERIC W. TORRES Printed Name: BEN HUR M. TARIFA Designation: Acting Chief, EMS Designation: OIC, Property Unit Date: Date: