INSTALLATION INFORMATION
DATEINSTALLED:_________________________________
MEDIATANKSIZE:______________”X________________”
MEDIAINSTALLED________________________________QTY
WELLPUMPCAPACITY:____________________________GPM
PIPESIZE:__________”MATERIAL_____________________
SERVICEFLOW:__________________________________GPM
BACKWASHFLOW:_______________________________GPM
CURRENTWATE
RCONDITIONSATSTARTUP
WATERTESTRESULTS:IRON_______________________
_PPM
WATERTESTRESULTS:MANGANESE_________________PPM
WATERTESTRESULTS:HYDROGENSULFIDE___________PPM
WATERTESTRESULTS:FEEDWATERpH___________________
WATER SAMPLE INFORMATION
City Water Supply Private Water Supply FEEDWATER IS Clear Cloudy
OBJECTIONABLE CHARACTERISTICS OF WATER SUPPLY
Water Seems Hard Water Has Sulfur Odor
Water Makes Red Stains Water Has Other Bad Taste and/or Odor
Water Makes Blue/Green Stains White Build-Up on Chrome Fixtures
Water Looks Dirty/Cloudy Water Heater Coils Clog/Burn-Out
Slimy Build-Up in Toilet Tank Other