Commercial Sizing Data Collection Sheet

Project Name:*

Project Date:*

Project Location:*

Street Address Address Line 2 City State ZIP Code

Contact Person:*

First Last

Contact Cell:*

Contact Email:*

Prospect Type:*

Facilities:*

Problem:*

Objective for treatment:*

Current means/ frequency of dealing with problem (if applicable):

Current annual cost associated with treatment (if applicable):

Source:*

Total Hardness (gpg):*

Mechanical Systems involved (chiller, boiler, heat exchange, etc), applicable manufacture & model number:

Pipe Size:

Pipe Material:*

Is grounded single phase 115 VAC 3 AMP electrical available?*

Please attach a drawing/ sketch/ pictures of system to be treated:

Drop files here or

Other Comments: