What do you have in your water?
NAME _________________________________________________________
ADDRESS _____________________________________________________
CITY & ZIP ___________________________________________________
HPHONE: ______________________ WPHONE: ____________________
Date: _______________________
Water Flow
Accurate flow rate at well in gallons per minute
Pressure tank settings: high & low psi range
Water Quality
Iron
H2S (sulphate)
Manganese
TDS, turbidity, clay or colloids
pH
Clarity (is the water clear or not?)
Tannin & lignins (yellow color)
Hardness
Coliform bacteria
Nitrates
Arsenic
Any other contaminants that you know of
Water Usage
Number of houses
Square footage of each house
Pipe size
Number of bathrooms
Average number of people in the house on a daily basis
Gallons per day, if known
Will treated water be used for irrigation? If so, how many days/week and for how long each time?
Well pump: Submersible/Shallow Well/Deep Jet
Any other unusual usage of water
Please submit the answers to these questions to:
Aqua Alternatives
Dean Petrich
2131 Middle Drive
Freeland, WA 98249-9516
(206) 324-5055
Petrich@whidbey.com