Scale Prevention System Application Form Print-Out

Scale Prevention System Application Form Water Analysis Report Name of Company initiating enquiry: --------------------------------------------------------------------------------------- Contact: ----------------------------------------------------------------------------------------- Date: ---------------------------------------------------------------------------------------- Client: ---------------------------------------------------------------------------------------- Address: ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- System name / description: ----------------------------------------------------------------------------- Water Flow Rate to be treated: …………………………………………………………………………………… Water Source: River ………………....... Town ……………………. Borehole ……………………. Seawater ……………………. Lake ……………………. Re-circulate or Single pass System Water temperature……………………………………. Equipment to be protected (e.g. Ccompressors, cooling tower, water heater) ………………………………… ……………………………………………………………………………………………………………………………………………………………. Material of pipework……………………………………………………………………………….……... Pipework diameter(s)…………………………………………………………………………………..…. Application Water purpose (e.g. cooling)……………………………………………………………………………. Current treatment (e.g. chemical, softening)…………………………………………………… Current frequency of descaling…………………………………………………………………………. Please include a rough sketch of circuit including; Pipe sizes, flow rates, pumps etc. ELEMENT RAW WATER RECIRCULATING Example 1 Example 2 Example 3 Example 4 TOTAL ALKALINITY CHLORIDES SULPHITES TOT HARDNESS CA HARDNESS Ph CONDUCTIVITY The following questions are for Re-circulating Systems only, PLEASE DO NOT FILL THIS IN IF ITS NOT NECESSARY. Questions for Cooling Towers In order for Fluid Dynamics to guarantee effectiveness of large cooling tower systems we will need to ask further questions. Please can the following information be given on the cooling circuit: Flow rates: Total flow rate of system: ………………………………………...m3p/h or 1/min or gpm Estimate make up flow: …………………………………………m3p/h or 1/min or gpm Estimate bleed flow: …………………………………………m3p/h or 1/min or gpm Total system pressure: ……………………………………………………………………………….bar/psi Temperatures: Basin: ……………………………………………………………………….(degrees C/degrees F) At heat exchanger/heating equipment:…………………………………………………………. (degrees C/degrees F) After heating equipment: ……………………………………………………………………....(degrees C/degrees F) If you could describe where the scaling is occurring in the system if any …………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………… If chemicals or a cleaning procedure is taking place Type of chemicals……………………………………………………………………………………………………………………………….. How often is the system shut down for cleaning………………………………………………………………………………… When completed please e-mail to Sales@scaleprevention.com or fax back to +44 (0)1628 670981.