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Smith & Loveless Water Project Inquiry Form

Thank you for inquiring about Smith & Loveless products and services for use on your upcoming project. Smith & Loveless takes pride in building quality equipment, engineered and built for long service life.

Please use this form to describe your upcoming project so that we may effectively analyze the parameters of your application and follow up with available solutions. Please complete the required fields and any pertinent project specifications, then click submit. Required fields are marked with an *. Please provide the following contact information:

Contact Name:*
City/Company:*
Street address:
City:
State/Province:
Zip/Postal code:
Country:
Work Phone:*
FAX:
E-mail:
End User Name:
Project Location:

Flow Rate:	GPM

Water Source:	Surface Water Ground Water

Application: (hold "ctrl" key for more than one selection)
If other, please list application:

Treatment Objectives: (hold "ctrl" key for more than one selection)
If other, please list application:

Influent Characteristics (please indicate amounts of the following:)
Turbidity (NTU)	NTU
Hardness (mg/L)	mg/L
Iron (mg/L)	mg/L
Manganese (mg/L)	mg/L
Color ( mg/L)	mg/L
H₂S/Odor (mg/L)	mg/L
Other
Other

Effluent Requirements (please indicate parameter according to amount or percentage)
Parameter:	Amount:	Removal %:
Turbidity (NTU)	NTU	%
Hardness (mg/L)	mg/L	%
Iron (mg/L)	mg/L	%
Manganese (mg/L)	mg/L	%
Color ( mg/L)	mg/L	%
H₂S/Odor (mg/L)	mg/L	%
Other		%
Other		%

Is there a water analysis available? Yes No

Plant Site Conditions:
Available Area: Ex. 24' X 36' 6"
Ambient Temperature Extremes: °F
Electrical Service:	volt + volt
Elevation Above Sea Level: ft.

Additional Comments:

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