Water Quality Questionnaire


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Home Water Quality Questionnaire
We would be glad to help find a solution to your water problems. Please provide us answers to as many of the following questions as possible and submit the form to us below. Don't forget to include your email address and we will get back to you quickly.
When taking a water sample to be tested, try to collect the sample as close to the pressure tank as possible, or collect the sample from a cold water faucet before any filters or water treatment system. Run your water for at least 10 minutes from the well to get an accurate sample.


Qualitative Analysis
1) Does water have any color when first drawn? Yes No
2) Does water have any odor? Yes No
3) Is water clear when first drawn? Yes No
4) If water is clear when first drawn, does it turn color after settling overnight? Yes No
5) If there is an odor in water when first drawn, is it gone after settling overnight? Yes No
6) Is there any sediment that settles to bottom of container if left overnight? Yes No
7) Is there any slimy buildup at the water line inside your toilet tank? Yes No
8) Do you have iron stains on your plumbing fixtures? Yes No
9) What is the size of the water line after the well pressure tank or public supply point-of-entry?



Quantitative Analysis
1) How many people in the household?
2) How many full bathrooms in the home?
3) What is the hardness level of your raw, unfiltered water?
4) The hardness value above is measured in what units? GPG (Grains Per Gallon)
PPM (Parts Per Million)
Mg/l (Milligrams Per Liter)
5) What is the iron level of your raw, unfiltered water?
6) The iron value above is measured in what units? PPM
Mg/l
7) What is the pH level of your raw, unfiltered water?
8) What is your flow rate in gallons per minute (GPM)? (See instructions below)



How to Check Your Flow Rate
  1. Open any hose bib or faucet until pump turns on.
  1. Close hose bib or faucet and let pump fill up pressure tank until it turns off.
  1. Using a 1 or 5 gal. bucket, open faucet and measure all water discharged until pump turns on.
  1. When pump turns on, immediately close faucet and start timing pump cycle.
  1. When pump turns off, record pump cycle time to refill pressure tank in seconds.
  1. Divide the number of gallons collected in Step c by the number of seconds in Step e.
  1. Multiply the answer from Step f by 60.
  1. The answer in Step g is the average pumping capacity of the pump in gallons per minute (GPM).


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