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WATER SYSTEM INQUIRY (Imperial measurements)

Date:

Project No. / Name:

Customer:
  Name:
  Address:
  Phone: Fax:
  Contact: E-mail:

Distributor / Agent:

Water supply:  

Name:

Type:

Depth: Age:
System Capacity:

Gal. / Day

    Daily hours of use:
 

Maximum flow daily:

GPM:  

Treated Water Storage:
  Gallons: Type:
  Proposed: Existing:
Raw Water Storage: Gallons:

Type:  

Enclosure: Existing: Proposed: Size:

Backwash Capabilities:

  T.W. Backwash:

Water Usage: Potable: Industrial:
Attach Water Analysis:

Completed by:

Existing Treatment:
Desired objectives:
  TDS mg/l Turbidity units NaCl mg/l
  BOD mg/l pH units Fe mg/l
  Mang mg/l Color units DO mg/l
  Hard mg/l Temp. C TSS mg/l
  Total Organic Carbon 
  Trace Metals: 
  Others: 
Drinking Water Standards:

Comments:

 

NOTE:    ATTACHMENTS WILL BE UPLOADED AFTER CLICKING SEND

     

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