Basic Information Customer/Utility Site or Well Identity/Location Local Engineer/Firm Other Pertinent Notes Operator Target Date for Installation Treatment Goals Rep Information Date Site Contact Contact Phone Rep Contact Fax Email System Parameters / Site Specific Info System Type /Application (utility, school, MHP, other) Population Served (estimated) Number of Connections Number of Wells to be Treated (# wells to be treated) Design Flow (GPM) (max design flow rate) Ave Flow (GPM) (typical demand) Adedge Sizing Basis (GPM) (sizing basis-Adedge) Est. Gallons per Day (Av. throughput per day) Est. Gallons per Year (Best estimate) Existing Pretreatment or disinfection? Equipment available for offloading Pump/Operation Pressure Available Electrical Supply Electrical Power Availability Atm Storage Tank Present / Size Hydropneumatic Tank Present / Size Building Present Any Additives ie, phosphates, fluoride Discharge Options Available Site Specific Notes Water Analysis pH Total Arsenic mg/L As As(III) mg/L (if known) Total Sulfides mg/L (total sulfides) Phosphate mg/L P04 Alkalinity mg/L @ CaCO3 Calcium mg/L Mg Magnesium mg/L Mg Radium pCi/L Ra 226/228 Hardness mg/L @ CaCO3 Silica mg/L SiO2 Sulfides mg/L Sulfate mg/L as SO4 Iron mg/L Fe Manganese mg/L Mn Sodium mg/L Na Bicarbonate mg/L HCO3 Total Organic Carbon mg/L TOC Ammonia mg/L NH4 + Nitrates mg/L as NO3 Chlorides mg/L Cl Conductivity umho/cm Turbidity NTU Uranium mg/L U Gross Alpha pCi/L TDS mg/L Fluoride ppm F Suspended Solids ppm Temperature degrees F Tannins mg/l Chromium VI mg/l - None -Internet TextPrint AdPress ReleaseReferralOther arrow_drop_down How did you hear about Adedge? Questions? call toll free (866) 8ADEDGE or (678) 835-0052
