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  • Request A Quote:

    Client Contact Information:

    Client Industry:
    Company Name:
    First Name:

    Last Name:
    Address 1:

    Address 2:
    City: State/Province:
    Postal Code:    
    Phone:
    e-Mail:
    Preferred Contact:
    Phone e-Mail    
         

    Desired Final Product Water Specification:

    Industrial/Commercial
    Boiler Feed
    Cooling Tower
    RO Product Water
    Laboratory Grade
    CLSI
    ASTM I ASTM II ASTM III ASTM IV
    Type A Type B  Type C
       
    Food & Beverage
    Drinking Water (IBWA)
    Spring Water (IBWA)
    Purified Water
    Biopharm
    (Current) USP Purified
    Conductivity Stage:
    Stage 1 Stage 2 Stage 3
    Water for Injection
       
    Dialysis
    AAMI Standard
     
     

    Additional Purity Requirements:

    μS/cm MΩ-cm
    Bacteria Specification (cfu/ml) Total Organic Carbon (TOC) (ppb)
    Endotoxin Specification (EU/ml) Particles: Type
    Particles: Limit    
    Other
    Will the water purification system be validated? Yes No    
     

    Water Usage:

    How much water will be used in an eight-hour shift?
    How many shifts per day?
    How many shifts per week?
    If there were to be an interruption in make-up water (city feed issue or pre-treatment service) how much reserve water for production would the Client like?
    What is the Peak Instantaneous Demand?
    How long does the Peak Instantaneous Demand last?

    Form Verification:

    What is the last letter in the English Alphabet?

TOTAL WATER provides service to Wisconsin, Minnesota, Illinois and Iowa
800-929-2236 :: 608-221-2236 ::highpuritywater@total-water.com