TITANOR - Questionnaire

TECHNICAL QUESTIONNAIRE

Name of the Company:(required)

Company / Residential Address for correspondence:
(required)

Telephone:(required)

E-mail:(required)

Present Usage of Chlorine

	Consumption Per Month	Price/Unit	Available Chlorine Concentration(%)
Chlorine Gas
Sodium Hypochlorite
Bleaching Powder

Present/Proposed Application:

Areas and flow rate of water to be chlorinated for fresh water

Details of Chlorine Dosage

APPLICATIONS

		1	2	3	4	5	6
A	Dosage in mg/It. of chlorine equivalent(PPM)
	Continuous
	Shock
	Continuous + Shock