Industrial Water Softener 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: Feed Water & Process Data Minimum data to generate a quote marked with an asterisk (*) Feed Water Source: * Municipal Well Water Surface Water Other: For well water applications, a detailed water analysis will be required. Enter other feed water source TDS (ppm): * pH: Sulphur (ppm): Iron (FE) (ppm): * Total Hardness (CaC0₃) (ppm): * Free Chlorine (Cl₂) (ppm): Tannins (ppm): Turbidity (NTU): Feed Water Temperature (°C): Min: Max: Avg: Supply Line Pipe Size (in): * Running Water Pressure (psi): Min: * Max: Avg: Hours of Operation (hr): * Flow Rate Range (gpm): Min: * Max: Avg: Estimated Daily water Usage (gal): * System Equipment Selection Choice Minimum data to generate a quote marked with an asterisk (*) Tanks: * FRP Carbon Steel Carbon Steel ASME Resin: 8 % 10 % Fine Mesh HMI: 4" Screen 7" Screen 10" Screen Ethernet BACnet Flowmeter Magnetic: IFM ABB Endress & Hauser Ethernet ABB/E&H Carbon Steel Skid Pre-Piped: PVC Piped Copper Piped Not Required Communication: Ethernet/IP Modbus/TCP BACnet Voltage: * Specify panel voltage: * Control Valve This section is optional AQ-matic: PVC Cast-Brass Stainless Steel Motorized: PVC Brass Stainless Steel Pneumatic: PVC Brass Stainless Steel Carbon Steel Limit Switch Flanged Boiler Application Not Applicable This section is optional Boiler HP: Number of Boilers: Operating Hours: Condensate Return %: 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): Existing Softening or Other Pre-Equipment Data This section is optional Softener 1 Individual Unit ID: Unit Type: Manufacturer & Year: Model: Tank Capacity (ft³): Tank Diameter: Tank Construction: Control Valve Type: Softener 2 Individual Unit ID: Unit Type: Manufacturer & Year: Model: Tank Capacity (ft³): Tank Diameter: Tank Construction: Control Valve Type: Other 1 Individual Unit ID: Unit Type: Manufacturer & Year: Model: Tank Capacity (ft³): Tank Diameter: Tank Construction: Control Valve Type: Other 2 Individual Unit ID: Unit Type: Manufacturer & Year: Model: Tank Capacity (ft³): Tank Diameter: Tank Construction: Control Valve Type: Comments & Notes Submit