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Neutralizer Form

Need to neutralize pH for acidic water?
Easy Steps to Selecting Your Neutralizer!!
Contact Info
Items in red are mandatory.
Name:
Site address:
City: State:
Zip/Postal Code: Country:
Mailing Address:
City: State:
Zip/Postal Code: Country:
Home phone: Work phone:
Fax: E-mail:
Water Source:
City water Private Well Spring River / Creek
Lake Cistern Don't know
Water Chemistry Water Quality:
Hardness (ppm) Red/Orange stains Brown stains
pH (1-14) Black stains Blue stains
TDS (ppm) White spots/scale Corrosion
Iron (ppm) Bad tastes Bacteria
Manganese (ppm) Parasites Iron
Tannin (ppm) Manganese Chemicals
Nitrate (ppm) Nitrate High salinity
Copper (ppm) Heavy metals Sediment
Alkalinity (ppm) Color Odor
Bacteria Other
Date analyzed - - Low pressure at certain fixtures but not others
Type of piping I have:
Copper: Galvanized steel: PVC: Other:
Don't know: Size of piping: inches
Flow rate information:
HP of well or booster pump (What's this?):
Well flow rate (What's this?):
I have these facilities in my house:
Kitchen: Laundry: Swimming pool: Solar heating:
In-floor heating: Number of people in home:
Type of Pumping System I Have:
Well > Pressure Tank > House
Well > Storage Tank > Booster Pump > Pressure Tank > House
Well > Storage Tank > Gravity Feed to > House
Other
Please tell us background information or notes here:
Disclaimer:
The information contained here is believed to be reliable and offered in good faith with no warranties or implied warranties or fitness for a particular use. System design suggestions are based on best judgement or estimates considering limited information provided by customer; End-user or the customer is responsible for determining suitability of application and usage under site-specific circumstances, environmental conditions and water quality profile. The customer is responsible for determining that Information in this document is appropriate for the specific application, and ensuring compliance with applicable laws and regulations. Installation by a qualified mechanical contractor / plumber, and ongoing sampling and monitoring protocol is required for all installations to determine actual performance and the appropriate frequency of service. Advanced Water Systems Inc. neither accepts or assumes any liability associated with water treatment system design. No warranty or guarantees are extended to cover piping systems, appliances or other water using fixtures. I agree to hold harmless Advanced Water Systems Inc for any information contained herein and take full responsibility for my own water systems and applications.
I agree I do not agree


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