Ultra Violet Systems
Ultra Violet Systems

Liquid Disinfection Request Form


Name:
Company Name:
Address:
City:
State:
Zip:
Phone:
Email:


 

How did you hear about UV Connection?

FLOW RATE GPM
WATER TYPE: CLEAR FRESH WASTEWATER
  PURIFIED POND
  SALT  
     
WIPERS: MANUAL AUTOMATIC
  NONE  
     
PIPE INLET/OUTLET SIZE: in.
*Please consult factory for sanitary fitting options.

 

Any bromide concerns?

     
SYSTEM BYPASS ( requires 2 or more units ) YES    NO
     

 

Notes:


 

 

 


 

1310 Rayford, Bldg. F2, Spring, Texas 77386   
Tel: ( 281) 419-6112  Fax: (281) 419-6136   
info@uvconnection.com, sales@uvconnection.com