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11/20/09 9:21 AM Page 81 SECTION 12: Appendix 81 12.6 RECORD OF INSTALLATION Pump Motor Control Panel Manufacturer / Model Outside Power: Transformer 1 KVA Transformer 2 KVA Transformer 3 KVA Circuit Protection: ■ Circuit Breaker: ■ Fuse ■ Std. Amps Amps ■ Delay Cables From Service Entrance to Pump Control: Starter Size AWG/MCM Manufacturer Length ft. Type Temp. Rating °F / °C (circle one) ■ Autotransformer ■ Full Voltage ■ Other Check appropriate boxes ■ Copper ■ Jacketed ■ Aluminum ■ Individual Conductors Time to full voltage From Pump Control to Motor: Size AWG/MCM Length ft. Temp. Rating °F / °C (circle one) sec. Heaters Manufacturer Qty: Check appropriate boxes ■ Copper ■ Jacketed Size Amp setting Installation Data ■ Aluminum ■ Individual Conductors Controls grounded to: ■ Motor ■ Well Head ■ Power Supply ■ Buried Rod Grounding wire size Appendix PN793 AWG / MCM Date Service Entrance T1 T2 T3 Location Pump Control Transformers Motor serial number Pump Assembly Motor Current - Balance Worksheet Total Amps Average Amps From Average Amps Deviation L1 Deviation L2 Deviation L3 % Current Unbalance Largest Deviation % Unbalance + Arrangement 1 Amps L1–T1= —— L2–T2= —— L3–T3= —— Arrangement 2 Amps L1–T3= —— L2–T1= —— L3–T2= —— Arrangement 3 Amps L1–T2= —— L2–T3= —— L3–T1= —— —— —— —— —— —— —— —— —— —— —— —— —— —— —— —— —— ——% —— ——% —— ——% PN793
