Data collection sheet for recommendation
of Antiscalant for Effluent Concentrating Evaporator

NEW CLIENT / NEW APPLICATION
S.No. Description Details
1 Client name with address and pin code
  Phone
  Fax
  Email
2 Attention to whom
Name
Designation
3 Subject
4 Our Sales Person (s) involved
5 Discussion over phone / direct site visit Phone Direct Site Visit
6 Discussed with whom
Name
Designation
7

Offer to be sent through Fax / Courier : If fax : Fax Number

Courier Fax         Fax No.
8 Copies to be sent to ( ie CC to )
Name
Designation
9 Type of Evaporator - Shell & Tube / Plate Heat Exchanger / Multiple Effect Evaporator
10 No.of Stages / Effects
11 No.of Tubes in each Effect  
12 Internal Dia of each Tube
13 HOS of each Tube
14 Dimension of each Plate Heat Exchanger
15 Metallurgy of the system
16 Whether high pressure jet cleaning system is available Yes    No
17 Cleaning Frequency at present
18 Antiscalant Dosing Provision and availability of dosing pump
19 Holdup volume of the composite effluent tank / Influent Storage tank
20 Source of heat – Steam / Electric / Gas
21 Present cleaning method and chemicals used for the cleaning
22 Type of evaporator influent
23 Total Quantity of evaporator influent
24 Temperature of Effluent at feed
25 TDS of the influent at the feed
26 Final concentrate TDS ppm
27 Influent Characteristics (One file of                      maximum size 1MB can be Uploaded)
28

Parameters :

pH 
Calcium Hardness 
Magnesium Hardness
Total Hardness
T.Alkalinity
M.Alkalinity
Chlorides
Sulphates
Reactive Silica
Total Suspended Solids
Total Dissolved Solids
Total Solids 

 
29 Final Concentrate Characteristics (One file of                      maximum size 1MB can be Uploaded)
30

Parameters :

pH 
Calcium Hardness 
Magnesium Hardness
Total Hardness
T.Alkalinity
M.Alkalinity
Chlorides
Sulphates
Reactive Silica
Total Suspended Solids
Total Dissolved Solids
Total Solids 

 
31 Total Heating Surface Area
32 Scale Analysis Report
  Recommended product (s)
  Dosage Details
  Special Instruction(if any)
  Date of Visit by you
  Offer sent Date to Client