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Cooling Tower Survey

(Use ONE form per tower)

 Date: ________________


Client's Name:


Address:




Phone: _______________________

FAX: _________________________

E-Mail: ________________________

Send Instructions and/or Reports to:


Send copies of Instruct/ Reports to:



Service Representative:



System Description


Manufacturer's Name of Tower/Chiller, etc._____________________________Type:___________

Mfr's. Name: Compresser and Refrigerant System:


Operation: Hrs/day___Days/wk___Continuous___Intermittent_____________

Rated Tonnage of Tower_______________Water Recirculation Rate_____GPM

Dimensions of Pan: Width_________Length_________Water Depth________________________

Materials of Construction:


System Flow Diagram (attach)


Site Conditions/Water Source

 

Draft: Forced__________________Induced______________Natural________________________

Source of Makeup Water (City, Well, Softened, etc.):


Amount of makeup used per 24 hours_______________

Makeup line pressure (ps__________________________

How is Makeup Controlled? Float__________________Manual____________________________

Is there Provision for Bleed?_____Rate and Location_____________________________________

Is a Feeder Present?______Type__________Location___________________________________

Results of Analysis: TDS____ Conductivity____ (mmho)____ TH____ CaH____

MgH____ Turbidity____ M____ P____ pH____ Cl____ SO4____ SiO2____

Langelier Index____

Current Treatment Program:

 System  Manufacturer  Formula  Lbs/day  Cost/lb  Feeding Point
           
           
           
           
           
           

Current Chemical Control Testing

Control Tests Frequency of Plant Tests  Limits of Plant Tests   Open Recirculation Tests Closed Recirculation Tests   Once Through Tests
           
           
           
           
           
           
           

Corrosion Monitoring Program:





Condition of Equipment:

Towers
 
Condenser
 
Closed System
 
Chemical Feed System
 

How will Alken-Murray treatment be fed into the system?


What is Cooling Water Used For?


Present Condition of System (Scale, Slime, Mud, etc.)


Temperature of influent water (water to tower)______F.

Temperature of effluent water (water leaving the tower)____F.

How Frequently is the System Cleaned - (Method)?



Effluent Disposal

Is an NPDES Permit in Effect? Yes No

Receiving body


Pre or Post Treatment

Restrictions/Permit Effluent Limits:



Dilution Water Available:


Miscellaneous Notes

 






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