-------------------------------------------------------------------
Cations as CaC0(3)
Anions as CaC0(3)
-------------------------------------------------------------------
Constituent
mg/L
Constituent
mg/L
-------------------------------
-------------------------------
Ca++ . . . . . . . . . [_____]
HCO(3)-
. . . . . . . [_____]
Mg++ . . . . . . . . . [_____]
CO(3)= . . . . . . . . [_____]
Na+. . . . . . . . . . [_____]
Cl=
. . . . . . . . . [_____]
K+
. . . . . . . . . [_____]
SO(4)= . . . . . . . . [_____]
[_____]
NO(3)= . . . . . . . . [_____]
PO(4)- . . . . . . . . [_____]
Total Cations
. . . . [_____]
Total Anions . . . . . [_____]
--------------------------------
----------------------------------
Constituent
mg/L
Miscellaneous
Values
--------------------------------
----------------------------------
CO(2) as CO(2) . . . .
[_____]
Turbidity . . . . [_____] ppm
Fe as Fe . . . . . . .
[_____]
Color . . . . . . [_____] Color units
Mn as Mn . . . . . . .
[_____]
Cl(2) (residual). [_____] pH
SiO(2) as SiO(2) . . .
[_____]
Fouling index
(5 minutes 207 kPa (30 psig)
Suspended
100 mL sample). [_____]
Solids
......
[_____]
Water temperature
Max [_____] degrees C ([_____] degrees F)
Min [_____] degrees C ([_____] degrees F)
Avg [_____] degrees C ([_____] degrees F)
Ambient temperature
Max [_____] degrees C ([_____] degrees F)
Min [_____] degrees C ([_____] degrees F)
Avg [_____] degrees C ([_____] degrees F)
Minimum inlet
water pressure [_____] kPa ([_____] psig)
--------------------------------
----------------------------------
Constituent
mg/L
Miscellaneous
Values
--------------------------------
----------------------------------
CO(2) as CO(2) . . . .
[_____]
Turbidity . . . . [_____] ppm
Fe as Fe . . . . . . .
[_____]
Color . . . . . . [_____] Color units
Mn as Mn . . . . . . .
[_____]
Cl(2) (residual). [_____] pH
SECTION 15405A
Page 74
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