End user

Details of scaling problem before installation

Details of installation

Company

Department

Contact person

Address1

Address2

City

Postal code

State or province

Country

Web site

E-mal address

Phone number

Fax number

Your supplier

Pipe diameter

dimension

Pipe material

Flow rate

Dimension

TDS

or electrical conductivity

Kind of deposits

Nature of scale

How often shutdown for cleaning?

Equipment to protect

Model

Serial #

Date of installation

Coil configuration

Remarks

# of windings one layer