General

This questionnaire is to inform us about your process TOC analysis & support systems requirements. Although you may not be able to answer many questions, this  questionnaire is a tool to enable us to provide the analyzer system to your full satisfaction. Your information will be treated as confidential.

Name
Organization
E-mail

Application

Laboratory
On-Line Process

Parameter (s) of interest? (Optional – For Total Systems Quotations)

TOC
Total Nitrogen
Total Phosphorus
Alkalinity
Others (please specify)

The analyzer (s) is for:

Ultra-pure Water Analysis
Industrial Process Control Power/Cogen
Food & Beverage
Effluent Monitoring
Municipal Process Control
Pharmaceuticals
Power/Cogen
Other (please specify) 

Normal (ppm)    

Minimum (ppm)  

Maximum (ppm) 

Process Stream Conditions at Sample Tap:

Application Details:

Additional parameters/sensors to be included:

Additional Remarks:

Budgetary Estimate Requested?  Yes No

Quotation Requested?  Yes No

Time Frame of Project?

Immediate
6-9 Months
1 Year or Longer

Call me? Yes No

Phone Number and Contact to call: