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QUESTIONNAIRE FOR RO PLANT
CLIENT INFORMATION
Name
Company Name
Tel/Fax
Email
Mobile
Address
Industry
DETAIL OF REQUIREMENT
Feed Source
Please Select
Cooling Tower Blowdown
Ground Water
Industrial Waste Water
Municipal Waste Water
Municipal Water
Produced Water
Sea Water
Surface Water
Unknown
Application
Please Select
Boiled Feed
Brine Concentrator
Cooling Tower Make-up
Effluent Re-Use
Industrial Process Water
Ingredient Water
Irrigation
Municipal Waste Water
Nano-Filtration
Other
Portable Water
Ulotra Pure Loop
Driver 1
Please Select
Recovery
Flexibility
Fouling and Scaling
Energy Savings
Capital Equipment Cost
Sustainability Goals
Driver 2
Please Select
Recovery
Flexibility
Fouling and Scaling
Energy Savings
Capital Equipment Cost
Sustainability Goals
Expected Close Date
Please Select
Yes
No
Feed Flow Rate
Required Permeste Capacit
Antiscalant Prefernce
Please Select
Chem Test
Avista
American Water Chemical
Nalco
King Lee
PWT
Membrane Preference
Please Select
Hydranautics
Filmtec
Naco H2O
Toray
CSM
N/A
HMI/PLC Manufacturer:
Please Select
Unitronics
Allen Bradly
Siemens
N/A
Redundancy Required:
Please Select
YES
NO
Sanitary Requirements:
Please Select
YES
NO
Customer Remarks:
Are u Human so write 2 + 3 = ?