PRT Quote - Advance Pump & Equipment

Company Name:*

Contact Name:*

Mailing Address:*

Street Address City State / Province / Region ZIP / Postal Code

Phone:*

Fax:

Email:

How soon do you need this equipment?*

What products are you transporting?*

Do you need a chassis?*

Yes
No

Tank constructed of:*

Capacity (gallons):*

Level Indication (check all that apply):

(3) 5" Removable Sight Glasses (std.)
2" Sight Tube (hose style)
2" Sight Tube (PVC pipe style)
Mechanical Float w/SS float
Digital Level Indicator - Garnet w/ float
Digital Level Indicator - Moro w/no float

Discharge Type:*

Sump Style
Rear Clean-out

Discharge Valve Type:*

4" Brass Lever Gate
6" Brass Lever Gate
4" Brass Piston Gate
6" Brass Piston Gate
4" Brass Ball
4" Betts Gate
6" Betts Gate
4" NVE gate
6" NVE gate

Air-Operated Discharge from cab?*

Yes
No

Rear intake?*

Yes
No

If Rear intake, then select Valve Type:

3" Brass Lever Gate
4" Brass Lever Gate
3" Brass Ball
4" Brass Ball
3" Betts Gate
4" Betts Gate
4" NVE Gate (no 3" available)

Internal Standpipe?*

Yes
No

Additional Rear intake?*

Yes
No

If Additional Rear intake, then select Valve Type:

3" Brass Lever Gate
4" Brass Lever Gate
3" Brass ball
4" Brass ball
3" Betts gate
4" Betts gate
4" NVE Gate (no 3" available)

Internal Standpipe?*

Yes
No

Front Intake/Discharge:*

None
No Front Intake
Passengers Side Front Intake
Driver's side Front Intake

If Front Intake/Discharge, then select Valve Type:

3" Brass Lever Gate
4" Brass Lever Gate
3" Brass Ball
4" Brass Ball
3" Betts Gate
4" Betts Gate
4" NVE Gate (no 3" available)

Heat Jacket System (check all that apply):*

None
Rear Discharge
Rear Intake
Additional Rear Intake
Front Intake

Rear Work Lights?*

Yes
No

Strobe Beacon w/Branch Guard?*

Yes
No

Back-up Alarm?*

Yes
No

Drivers Side Toolbox? (check all that apply):*

Passenger Side Toolbox? (check all that apply):*

Brand of Vacuum Pump:*

If Vacuum pump, then select Air Flow of Vacuum System (Free Air):

Not sure
100 - 200 CFM
200 - 400 CFM
500 - 700 CFM
800 - 1000 CFM

More information if needed:

Jetter:*

None
JT530 – 5GPM 3000 PSI Gas Drive
JT1030 – 10 GPM 3000 PSI Gearbox Direct Drive
JT1030 – 10 GPM 3000 PSI Hydraulic Drive
JT2040 – 20 GPM 4000 PSI

If Jetter, then select Water Source:

Home Owner Water Supply (JT530 only)
50 Gallon Saddle Tank
100 Gallon Saddle Tank
250+ Interior (second compartment in tank)

Additional Requests or comments:

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