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Custom Water System Design & Questionnaire (Part 1)

Just fill in the blanks! We will design a water treatment system for you, and email you a recommendation with options, prices and ordering information.
Questions? Call (831) 476-0515 or email: office@advanced-water-systems.com
***Items in red are mandatory.***
Basic Info
How did you hear about AWS?
Name:
Site address:
City: State:
Country: Zip/postal code:
Mailing Address:
City: State:
Country: Zip/ postal code:
Home phone: Work phone:
Fax: E-mail:
Source of Water Piping Info
City Small community # of bathrooms
Private well Spring, lake, river Any pressure problems? yes no
Don't know Water pressure (PSI)
Other: Pipe size at inlet
Water Chemistry Low Cost Water Testing Available Copper pipe? yes no
Hardness (ppm) Galvanized pipe? yes no
pH (1-14) PVC pipe? yes no
TDS (ppm) Drain nearby? yes no
Iron (ppm) Electrical outlet nearby? yes no
Manganese (ppm) Point of Use Filtration Info
Tannin (ppm) Icemaker installation? yes no
Nitrate (ppm) Install at sink? yes no
Copper (ppm) Porcelain sink? yes no
Alkalinity (ppm) Stainless steel sink? yes no
Bacteria Existing hole for faucet? yes no
Date analyzed - - Granite countertop? yes no
Household Info Tile countertop? yes no
# of people Existing Treatment Info
# of years at house Existing water softener? yes no
Drink bottled water? yes no Brand?
Icemaker? yes no Existing point of use filter? yes no
Instant hot dispenser? yes no Brand?
Solar water heater? yes no  
Spa-type bath tub? yes no


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743 41st Ave. Santa Cruz, CA 95062


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