Data collection sheet for
Boiler Water System

New Client/ New Application

S.no. Description Details
1 Client name with full postal 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  No.of Boilers Working        Standby       Total
10 Type of Boiler
11 Steam Production Capacity of each boiler  
12 Actual steam production for each boiler in tons/hr
13 Operating Pressure for each boiler in  Kgs/cm2
14 No.of hours of operation of each boiler
15 External Treatment       
16 Type and source of boiler feed water
17 Feed Water Temperature at the inlet of boiler feed pump .C
18 Feed water tank capacity
19 Total feed water consumption per day
20 Is there any condensate return? Yes    No
21 % of condensate return
22 Avaliability of preheaters and deaerators Yes   No
23 Blow down at present
24 Availability of dosing pump Yes   No
25 Present Dosing Method
26
Water Characteristics
PH
Total
Hardness ppm
TDS ppm
P.alkalinity ppm
M.alkalinity ppm
Sulphates ppm
Iron ppm
Silica ppm
Residuals like Phosphate / Sulphite / Hydrazine Hydrate / Amine
External Treatment Plant Outlet Water
Boiler Feed Water
Boiler drum / blow down water
  Recommended Eauchem Product (s)
  Dosage
  Price / kg
  Method of dosing of Eauchem Products
  Special Instructions (if any)
  Date of visit by you
  Offer sent Date to client