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Client/Company name *
Contact name *
Title
Phone number *
Email address *
Billing address *
Mailing address (if different from billing address)
Sales person (enter name of representative or N/A if you don’t deal with a PWT rep) *
Select desired service * —Please choose an option—On-site/Off-site membrane cleaningWater analysisMembrane autopsyPiot StudyMembrane&element analysisOther ServicesSPMCClearlogx
Type of system (ex: UF, MBR, RO) *
Capacity *
Reason for work request *
Manufacturer *
Model *
Element location in system *
Element age *
Any current damages to exterior of the membrane? * YesNo
System configuration *
System product water flow rate - designed (gpm, m3/d, MGD) *
System product water flow rate – actual (gpm, m3/d, MGD) *
Feed conductivity *
Permeate conductivity *
Differential pressure – design *
Differential pressure – actual *
Feed pressure – design *
Feed pressure – actual *
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