Report Name

Company: Address: City: Attention: Copy to: Nalco Copy to:

System Overview
Average Last 7 days Ave.Heat Rejected 0 kWh Evaporation Rate 0.0 gpm Cycles Conductivity pH NCM 1 NCM 2 Nalco Scale Index Nalco Bio-Index System Volume 0 gal

State:

Date: Plant: Zip:

RO System

Ave Makeup Rate 0.0 gpm

#DIV/0! 0 0.0 0.0 0.0 0.0 0.0

Ave Blowdown Rate 0.0 gpm

Heat Source

Data
Parameter UOM Time Value Avg. Min. Max. St. Dev. LSL USL Range

Copy Left With: Signature:

Nalco Rep: eMail: Signature:

Nalco Company 1601 West Diehl Road Naperville, IL 60563-1198 www.nalco.com

Report Name
Company: Address: City: Attention: Copy to: Nalco Copy to:
System Overview
Average Last 7 days Ave.Heat Rejected 0 kWh Evaporation Rate 0.0 gpm Cycles Conductivity pH NCM 1 NCM 2 Nalco Scale Index Nalco Bio-Index System Volume 0 gal

State:

Date: Plant: Zip:

RO System

Ave Makeup Rate 0.0 gpm

#DIV/0! 0 0.0 0.0 0.0 0.0 0.0

Ave Blowdown Rate 0.0 gpm

Heat Source

Data
Parameter UOM Time Value Avg. Min. Max. St. Dev. LSL USL Range

Copy Left With: Signature:

Nalco Rep: eMail: Signature:

Nalco Company 1601 West Diehl Road Naperville, IL 60563-1198 www.nalco.com

Nalco Company 1601 West Diehl Road Naperville, IL 60563-1198 www.nalco.com

Report Name
Company: Address: City: Attention: Copy to: Nalco Copy to:
Data
Parameter UOM Time Value Avg. Min. Max. St. Dev. LSL USL Range

State:

Date: Plant: Zip:

Copy Left With: Signature:

Nalco Rep: eMail: Signature:

Nalco Company 1601 West Diehl Road Naperville, IL 60563-1198 www.nalco.com

Report Name
Company: Address: City: Attention: Copy to: Nalco Copy to:
Data
Parameter UOM Time Value Avg. Min. Max. St. Dev. LSL USL Range

State:

Date: Plant: Zip:

Copy Left With: Signature:

Nalco Rep: eMail: Signature:

Nalco Company 1601 West Diehl Road Naperville, IL 60563-1198 www.nalco.com

Nalco Company 1601 West Diehl Road Naperville, IL 60563-1198 www.nalco.com