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Company
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Date |
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(dd/mm/yy)
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Address
|
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Name
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Dept. |
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Phone
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Fax |
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*
Present Water
Conditions:
|
|
Source
of water (well, municipal, surface, sea, etc.):
|
|
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Volume
available for treatment
(m³/day, other):
|
|
S.D.I.:
|
|
|
|
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Feedwater
temperature:
|
|
Min.°C |
Max.°C |
Design°C |
|
General
appearance (color, clarity):
|
|
|
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Total
Dissolved Solids:
|
ppm
|
|
|
|
|
Line
Pressure:
|
|
Min. |
psig
|
Avg. |
psig
|
|
|
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Max. |
psig
|
|
|
|
|
|
|
|
Water
Analysis:
|
|
*pH
|
|
|
|
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ppm
|
|
|
*Ca
|
|
ppm
|
|
|
ppm
|
|
|
*Mg
|
|
ppm
|
|
|
ppm
|
|
|
Na
|
|
ppm
|
|
|
ppm
|
|
|
K
|
|
ppm
|
|
|
ppm
|
|
|
Mn
|
|
ppm
|
|
|
ppm |
|
|
Fe
|
|
ppm
|
|
|
ppm |
|
|
F
|
|
ppm
|
|
|
ppm |
|
|
|
|
|
|
|
|
|
|
*Organics
|
|
|
|
|
|
|
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*Odor
|
|
|
|
|
|
|
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Other
|
|
|
|
|
|
|
|
|
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Available
Equipment: |
|
Do you have: |
Softeners
|
|
|
|
|
|
|
Carbon
Filter
|
|
|
|
|
|
|
Sand
Filter
|
|
|
|
|
|
|
|
Cartridge
Filter
|
|
(Nom.rating |
)
|
|
|
|
|
|
|
|
|
Other
pretreatment:
|
|
|
|
|
|
|
*Power
available:
|
V
|
|
|
|
|
|
Amps
|
|
|
|
|
|
Ph
|
|
|
|
|
|
Cycles
|
|
|
|
|
|
|
Available
Product Storage: |
|
U.S.Gallons
|
|
|
|
|
|
|
|
*Equipment Location: |
Indoors
|
|
|
|
|
|
Outdoors |
|
|
|
|
|
|
If Indoors;
Available Ventilation / Air conditioning:
|
|
|
Available
Drainage:
|
|
|
|
|
|
Treated
Water Requirements: |
|
Intended
Use:
|
|
|
Daily
Usage:
|
|
gallons(m³)
|
|
|
|
Continuous: |
|
Intermittent:
|
|
|
|
|
|
|
|
|
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If intermittent, give
approximate rates & duration: |
|
gal/min
|
|
hrs/day |
|
|
|
|
|
|
|
|
|
Quality desired or
max. TDS allowable: |
|
|
|
|
|
ppm
|
|
|
|
|
|
megohms
|
|
|
|
|
|
microhms
|
|
|
|
|
|
|
|
|
|
|
*Space available: |
|
|
|
|
|
|
(ft.)
length x
|
|
|
|
|
|
(ft.)
depth x
|
|
|
|
|
|
(ft.)
height
|
|
|
|
|
|
|
|
|
|
|
Additional
Special Requirements:
|
|
|
|
|
|
|
|
|
* = Minimum
Information needed to prepare proposal. |
