Commercial Reverse Osmosis info Request Form Home Customer Information Minimum data to generate a quote marked with an asterisk (*) Company: * Email: * Address: Phone: * City, Zip/Postal: Cell: Contact Person: * Type of Business Title: Application: Raw Water Data Minimum data to generate a quote marked with an asterisk (*) Feed Water Source: * Municipal Well Water Surface Water Other: Enter other feed water source Conductivity (uS/cm): * TDS (mg/l): * Chloride (Cl): Boron (B): Total Alkalinity (CaC0₃): Iron (FE): Turbidity (NTU): Barium (Ba): Silica (Si0₂): Total Chlorine (CL₂) On Site: SDI (if available): Strontium (Sr): Total Hardness (CaC0₃): Sulfate (S0₄): Nitrate (N0₃): Sodium (Na): Raw Water Temperature (°C): Min: * Max: Avg: pH: Available Water Pressure (psig): Min: * Max: Avg: Supply Line Pipe Size (in): * Process Operation Requirements Minimum data to generate a quote marked with an asterisk (*) Hours/Day: Days/Week: Max Flow (GPM): * Total Volume (GPD): * Desired Water Quality Minimum data to generate a quote marked with an asterisk (*) Desired Water Quality: * TDS (ppm) <= Conductivity (uS/cm) <= Enter a desired TDS value. TDS will be less than or equal to this value. Enter a desired Conductivity value. Conductivity will be less than or equal to this value. Excalibur RO Systems not approved for dialysis or medical applications. Where possible, provide any customer specifications or restrictions relating to RO water quality. RO Pre-treatment Requirements This section is optional Chlorine Removal: Bisulfite Carbon Filter Quote New Carbon Filter Use Existing Carbon Filter (Provide Details) Not Required Provide details for existing carbon filter Scale Control: Antiscalant Softener Quote New Softener Use Existing Softener (Provide Details) Not Required Provide details for existing water softener Sediment Removal: Multimedia Filter Cartridge Filter Quote New Filter Use Existing Filter (Provide Details) Not Required Provide details for existing filter RO System Requirements Minimum data to generate a quote marked with an asterisk (*) Standard Controller Instrumentation: Permeate TDS Feed TDS Feed pH Feed ORP Permeate pH Voltage:* 110 V AC 220 V AC UL Labeling Pump 600 V AC Other: Enter other Voltage details Flowmeter: Rotameter Paddle Wheel Meter Calorimeter Controller Flow Display Feature: Auto Flush Permeate Divert Booster Pump Package Remote Alarm Relay Communication: BACnet/TCP Modbus/TCP Serial and Modbus/TCP Serial and BACnet/TCP Storage Tank This section is optional Capacity in US gallons: OR Capacity in Hours of Operation: Re-Pressurization Pump This section is optional but if used, please minimally fill in fields marked with an asterisk (*) Flow (gpm): * Pressure (psi): * Pipe Size (in): Pipe Length (ft): Height (ft): Elbows: Voltage: * Phase: RO Post-treatment Requirements This section is optional pH Adjustment: Caustic addition Other: Not Required Enter other pH adjustment details Ion Exchange: Softener Demineralizer Other: Not Required Enter other ion exchange details Disinfection: UV Chlorination Ozone Other: Not Required Enter other disinfection details Other: Allocated Space Minimum data to generate a quote marked with an asterisk (*) Dimension (ft):* Height * Length * Width * Door Size (in): Height Width Weight Limitation (lbs): Comments & Notes Submit