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Application Questionnaire

Thank you for considering WaterSurplus for your water treatment needs. So that our experts can offer the most accurate and competitive proposal, please complete as many of the questions as you are able.
38Questions
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  • 7
    Your WaterSurplus contact will receive a copy of your questionnaire results.
    Please Select
    • Please Select
    • Alex Bauling
    • Andrew Zaske
    • Bryan Kumfer
    • Craig Hall
    • Dileep Agnihotri
    • Ian Riggs
    • Ian Tonner
    • Jeff Anderson
    • Jim Groose
    • Jim Ryan
    • Jody Burgess
    • John Barelli
    • John Matthews
    • Jon Reinke
    • Juan-Carlos Virgen
    • Kevin Treptow
    • Melinda Gunderson
    • Mike Piercy
    • Ryan Barelli
    • Sam Wyant
    • Sean Barelli
    • Scott Watkins
    • Sriram Sambasivam
    • Steven Johnson
    • Tracy Battaglia
    • Trevor Taylor
    • Warren Mathieu
    • Zach Leigh
    • Not Listed or Unknown
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  • 8
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    /
    Pick a Date
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  • 10
    Water generation should be stated as the amount of water that you need to treat per day. Water distribution refers to the instantaneous amount of water that you need delivered.
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  • 11
    Please Select
    • Please Select
    • 22-24 Hours/day
    • 10-12 Hours/day
    • 6-8 Hours/day
    • 1-2 Hours/day
    • 2-4 Hours/day
    • 4-6 Hours/day
    • 8-10 Hours/day
    • 12-14 Hours/day
    • 14-16 Hours/day
    • 16-18 Hours/day
    • 18-20 Hours/day
    • 20-22 Hours/day
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  • 12
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  • 13
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  • 14
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  • 15
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  • 16
    Please Select
    • Please Select
    • Ground Water
    • Surface Water
    • Municipal/Potable Water
    • Seawater
    • Filtered Water
    • Soft Water
    • Tertiary Supply
    • Process Waste Stream
    • WWT Plant Effluent
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  • 17
    Note Minimum and Maximum
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  • 18
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  • 19
    Alternatively, you can upload your water analysis on the next screen. For RO applications, analyses with an asterisk are required for feedwater.
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  • 20
    Alternatively, you can manually enter your water analysis on the previous screen. For RO Applications, the following analyses are required: Ca, Mg, Na, K, F, Mn, Ba, Sr, Al, NH4, Fe, Cl, SO4, NO3, PO4, B, CO3, HCO3, SiO2, Conductivity, pH, TSS, TOC, Turbidity, Temp.
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
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  • 24
    Enter desired length of rental (in months)
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  • 25
    Enter desired length of pilot (in months)
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  • 30
    Please include the air pressure.
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  • 31
    -
    Pick a Date
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  • 32
    Water Surplus
    • Please Select
    • Water Surplus
    • Customer/End User
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  • 33
    Yes
    • Please Select
    • Yes
    • No
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  • 34
    Please Select
    • Please Select
    • Skid Mounted
    • Land/Sea Container
    • Mobile Trailer
    • Container or Trailer
    • Any
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  • 35
    Please Select
    • Please Select
    • Indoors, Controlled Environment
    • Indoors, Uncontrolled Environment
    • Outdoors, Protected
    • Outdoors, Unprotected
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  • 38
    Please Select
    • Please Select
    • Yes
    • No
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  • Should be Empty:
Application Questionnaire
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