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PERSONAL DETAILS
Title Mr Mrs Ms Other

Contact Name*

Email*

City/Town*

Country*

Telephone*

Facsimile

SCOPE OF WORK REQUIRED
a) Water Filtration System Yes No
b) Electrolytic Cell (s)/ - Hypochlorite Generator Yes No
c) Rectification Plant Yes No
d) Acid Cleaning System Yes No
e) ORP Interface & Controller Yes No
f) Other (please specify)
CHLORINE PRODUCTION REQUIREMENTS
Is this an existing Installation Yes No
If yes, please provide  
a) Current sanitation method
b) Chemical used
Chlorine Stabiliser
Is a chlorine stabiliser used  Yes No
Desired Chlorine Production
Minimum Production  
 kg/hr 		  
mg/litre/hr
Maximum Production 
(Including shock dosing requirement)		  
 kg/hr 		  
mg/litre/hr
Design (Operating) Production  
 kg/hr		  
mg/litre/hr
Remarks?
WATER BODY TO BE TREATED
Water type Fresh Water   Seawater
Other
Water Body Pool Fibreglass
Tiled
Concrete
Rock
Other
Lagoon / Pond 
Other
Situated  Indoors  Outdoors
Usage (eg est. peak no of bathers, bacteria workload)     total per day 
    max No any one time
Water Volume Dimensions   Deepest Depth  
  Minimum Depth
  Width 
  Length 
Total Litres   Litres
Design water volume turnover Every    hrs
WATER QUALITY
Salt concentration    ppm - Maximum
  ppm - Average
  ppm - Minimum
Water temperature   C o - Maximum
  C o - Average
  C o - Minimum
Is water analysis available Yes   No
SITE CONDITIONS
Plant Installation Indoors  Outdoors
Location
Ambient air temperature   C o - Summer  
  C o - Winter 
Maximum space available for plant   metres - Length
  metres - Width 
  metres - Height 
PUBLIC UTILITIES
Is seawater supply available next to the chlorine generator Yes    No
Flow rate   m3/hr - Maximum
  m3/hr - Minimum
Pressure   kPa - Maximum
If seawater is not available, please provide 
a) Location of additional seawater pump
b) Distance between additional seawater supply pump and chlorine generator    metres
c) Suction lift (at lowest tide level)   metres
Is freshwater available Yes   No
Flow rate   m3/hr
Pressure   psi/kPa
Electricity Supply
What phases are available single   3 Phase 
Frequency 50 hertz   60 hertz
Supply Voltage     Volts
Is Phase rotation to 
international standard		 Yes   No
Main supply variation       +/- %
ADDITIONAL COMMENTS