200 M.H. Del Pilar St.
Tinajeros, Malabon City
288.22.31 * 288.3858 * 288.73.31
www.aqualipure.com
Technicians Report
Date:__________________________
Purpose:__________________________________________________________________
Customers Name:
Address:
Tel Nos.:
Contact Person:
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Reported Problem/Complaint:
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Findings/Comment:
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Equipment Status (Put OK if its in good condition otherwise an X. Also put in exact reading on each blank.)
Water Analysis:
Hardness Reading
Raw Water TDS
Other Source TDS
pH value
chlorine
Raw Water
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Product Water
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Reverse Osmosis:
Feed Water TDS
Product Water TDS
RO Pump
RO Membrane
Current Status
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Polishing Stage:
5 m Sediment Polishing Filter
CTO / Carbon Block Polishing
Ultraviolet Sterilizer
Ballast of Ultraviolet
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Work Performed by: ____________________ Signature: _______________________
Time Started: __________________________ Time Finished: _____________________
Customers Signature: ___________________ Date: _____________________________
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