West Coast Filters

WATER SYSTEM INQUIRY (Imperial measurements)

Date:

Project No. / Name:

Customer:

Name:

Address:

Phone:

Fax:

Contact:

E-mail:

Distributor / Agent:

Water supply:

Reservoir

Lake

River

Well

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:

Drinking Water Standards: Can State EPA
Other

Comments:

NOTE: ATTACHMENTS WILL BE UPLOADED AFTER CLICKING SEND