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Water Delivery Distribution	Application	Required Equipment
Feed Water Source: Well Municipal/Tap Surface (River/Lake) Seawater	Residential(up to 200 gal/day) Commercial(200-10,000 gal/day) Industrial (above 10,000 gal/day) If you know your specific requirements, please specify:	Filtration Softeners Reverse Osmosis Ultraviolet DI / EDI Ozone MBR UF Other
Product Water Repressurization Needed?	Yes No
Required System Capacity
Available Power

FEED WATER ANALYSIS INFORMATION
Temperature	Degree F Degree C
	High
	Low
pH
TDS
Suspended Solids
Turbidity
Conductivity
Color
Total Hardness

**** IMPORTANT NOTE: Please indicate if ion is reported in ppm, mg/l, CaCO3, or mEq/L

WATER ANALYSIS - Ionic - Should Be a Balanced Analysis
Ca++		CO3--
Mg++		HCO3-
Na+		SO4--
K+		Cl-
NH4++		NO3-
Sr++		F-
Ba++		SiO2
Fe++		Other
Mn++		Other
Other		Other
Other		Other

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