Culligan Aquasential 2021 - Documentation and Warranty; Records & Data

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01037452 C 02/21
Important Information about your Culligan Water System
Please fill in the information below for future reference� If you have any questions regarding your Culligan water
system, please contact the dealer that installed your system for assistance�
Addition information may also be found by visiting: www�culligan�com
System and Dealer Identification
System Name Model Name:
In & Out Head Serial #: Tank Dimensions (W" x H"):
Date of Installation: Tank Serial #
Culligan Dealer: City/Town:
Dealer Phone # State:
Recommended Service
Recommended Owner Service Interval for Cartridge Filter (if applicable):
3 month: ________ 6 month: _________ 9 month: ________ 12 month: _________
Recommended Dealer Service:
_____ Test Water
_____ Evaluate Condition of Filter Media
_____ Replace or Add Filter Media as Necessary
Water Analysis
Hardness _____________________ grains/gallon Total Dissolved Solids - TDS ___________________ mg/l
pH level (acidity) ______________________ S� U � Alkalinity _______________________________ grains/gallon
Chloride ____________________________ mg/l Manganese __________________________________ mg/l
Sodium _____________________________ mg/l Hydrogen Sulfide (H2S) _________________________ mg/l
Iron ________________________________ mg/l Chlorine ___________________________________ mg/l
Other __________________________________ Other _________________________________________
NOTE! mg/l (milligrams per liter) and ppm (parts per million)
are equivalent units of measurement and 1 grain = 17.1 mg/l
Records & Data