1. Contact Information

Name *

Surname

Email *

Phone Number

2 . Water Analysis

State of Water *

Municipal Water

Borehole Water

Supply latest 2024 water analysis using SANAS 241:2015 method *

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3. Consumption/ litres required for the day

Consumption/ litres required for the working day (8 – 12 hours) *

1 000L 2 000L 5 000L 10 000L

Equipment running time/ hours *

8 hours 10 hours 12 hours

4. Power Available at Site / Location

Single Phase

Three Phase

5. Storage Tank and Pump at Site

Tank Size *

500L 1 000L 2 500L 3 000L 5 000L 10 000L

Pump on site *

(click here to upload a picture of controller and pump badges).

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6. Other (Type Any Additional Comments from Points 1 – 5)

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