Site Survey
zz Project  
  Name (required field)  
  Address  
  Phone # Ex Best time to call  
  E-mail (required field)  
  Type of Facility  
  Perceived Problem
  Water Quality Required  
  Applicable Published Standards  
RAW WATER ANALYSIS
  GPG / PPM TOTAL HARDNESS
PPM MANGANESE
  GPG / PPM TOTAL DISSOLVED SOLIDS
NTU TURBIDITY
 
PH PPM IRON PPM LEAD PPM COPPER
             
OPERATING PARAMETERS
  PRESSURE (PSIG)
   
TEMPERATURE
 
 
FACILITY PRESSURE   WATER TEMPERATURE
  WATER USAGE  
  Gallons per day (METER READING IF AVAILABLE)
  FLOW RATE DEMAND (GPM)  
 
PEAK
CONTINUOUS
MINIMUM
 
  PIPE SIZE  
 
AT PROPOSED POINT OF INSTALLATION
  PIPE MATERIALS
  SEWER
 
GPM DRAIN CAPACITY
PIPE DIAMETER
  ELECTRICAL SERVICE AVAILABLE  
 
VOLTS AMPS  
  SPACE AVAILABLE FOR INSTALLATION  
 
LENGTH WIDTH HEIGHT
  SMALLEST OPENING TO PASS THROUGH  
 
LENGTH WIDTH HEIGHT
  ANY OTHER SYSTEM REQUIREMENTS: PUMPS, STORAGE, INSTRUMENTATION?