/// Questionnaire – Hot water system water treatment

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

Hot water system Quantity:	1 2 3 4 5 6		Application	Hot water system water treatment
Hot Water System  Capacity in TR			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*
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 Hot water system:	1 2 3 4 5 6		Application	Hot water system water treatment
Hot Water System  Capacity in TR			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*
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 Hot water system:	1 2 3 4 5 6		Application	Hot water system water treatment
Hot Water System  Capacity in TR			Feed Water Pump * Liters / Second Liters / Minute Liters / Hour ㎥ (KL) / Hour US Gallon / Second US Gallon / Minute US Gallon / Hour ㎥ / Hour
Water Recirculation Flow Rate  Liters / Second Liters / Minute Liters / Hour ㎥ (KL) / Hour US Gallon / Second US Gallon / Minute US Gallon / Hour ㎥ / 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*
Blow - down per day * Liters / Hour ㎥ (KL) / Hour US Gallon / Hour			Make - up Water per day * Liters / Hour ㎥ (KL) / Hour US Gallon / Hour