/// Questionnaire – Cooling Tower Water Treatment

CONTACT DETAILS
Customer / Company Name*	M/s. Mr. Ms.
Postal Address*
City*			Postal Code*
State*			County*
Contact Person Name 1*	Mr. Ms.		Contact Person Name 2	Mr. Ms.
Designation*			Designation
Mobile Number*			Mobile Number
Email Address*			Email Address
Consultancy Name*			Consultancy Contact Person	Mr. Ms.
Consultancy Mobile Number*			Consultancy Email Address
COOLING TOWER

Quantity of Cooling Tower:	1 2 3 4 5 6		Application*	Cooling Tower, Open type Cooling Tower, Closed type Natural draft cooling towers
Capacity in TR / per Cooling Tower *			Condenser Pump Flow Rate* Liters / Second Liters / Minute Liters / Hour ㎥ (KL) / Hour US Gallon / Second US Gallon / Minute US Gallon / Hour
Conductivity in µs/cm			Cl2 residual maintained in treated water in ppm*
Total Dissolved Solid (TDS) in ppm*			Total hardness as CaCO3 in ppm
pH*
COC in Numbers*			Temperature drop across the cooling tower 0C*
Delta 'T'*			Chiller approach value
Blow - down per day * Liters / Hour ㎥ (KL) / Hour US Gallon / Hour			Make - up Water per day * Liters / Hour ㎥ (KL) / Hour US Gallon / Hour

Quantity of Same Capacity Cooling Tower:	1 2 3 4 5 6		Application*	Cooling Tower, Open type Cooling Tower, Closed type Natural draft cooling towers
Capacity in TR per Cooling Tower*			Feed Water Pump * Liters / Second Liters / Minute Liters / Hour ㎥ (KL) / Hour US Gallon / Second US Gallon / Minute US Gallon / Hour
Water Recirculation Flow Rate  Liters / Second Liters / Minute Liters / Hour ㎥ (KL) / Hour US Gallon / Second US Gallon / Minute US Gallon / Hour			Cl2 residual maintained in treated water in ppm*
Conductivity in µs/cm			Total alkalinity as CaCO3 in ppm
Chloride as CaCO3 in ppm			Total hardness as CaCO3 in ppm
Calcium as CaCO3 in ppm			Magnesium as CaCO3 in ppm
Iron Ions in ppm			Turbidity in NTU
Sulphate as SO4 in ppm			Total Dissolved Solid (TDS) in ppm*
Silica as SiO2 in ppm			pH*
COC in Numbers*			Temperature drop across the cooling tower 0C*
Delta 'T'*			Chiller approach value
Blow - down per day * Liters / Hour ㎥ (KL) / Hour US Gallon / Hour			Make - up Water per day * Liters / Hour ㎥ (KL) / Hour US Gallon / Hour

Quantity of Same Capacity Cooling Tower:	1 2 3 4 5 6		Application*	Cooling Tower, Open type Cooling Tower, Closed type Natural draft cooling towers
Capacity in TR / per Cooling Tower*			Feed Water Pump * Liters / Second Liters / Minute Liters / Hour ㎥ (KL) / Hour US Gallon / Second US Gallon / Minute US Gallon / Hour
Water Recirculation Flow Rate  Liters / Second Liters / Minute Liters / Hour ㎥ (KL) / Hour US Gallon / Second US Gallon / Minute US Gallon / Hour			Cl2 residual maintained in treated water in ppm*
Conductivity in µs/cm			Total alkalinity as CaCO3 in ppm
Chloride as CaCO3 in ppm			Total hardness as CaCO3 in ppm
Calcium as CaCO3 in ppm			Magnesium as CaCO3 in ppm
Iron Ions in ppm			Turbidity in NTU
Sulphate as SO4 in ppm			Total Dissolved Solid (TDS) in ppm*
Silica as SiO2 in ppm			pH*
COC in Numbers*			Temperature drop across the cooling tower 0C*
Delta 'T'*			Chiller approach value
Blow - down per day * Liters / Hour ㎥ (KL) / Hour US Gallon / Hour			Make - up Water per day * Liters / Hour ㎥ (KL) / Hour US Gallon / Hour