ALPHA WATER SYSTEMS INC 
                                                          P.O. BOX 1210 
                                                 MONTAGUE, N.J. 07827 
                                                        Call 973-293-7856 
                                                        Fax 973-293-8056 

                                         Water Analysis Printable Sheet

 10 PART COMPOUND WATER TEST 

 Name: ___________________ Source of Water: _____________ 

 Address: ___________________ Current Treatment: _____________ 

 City: ___________________ 

 Phone: ___________________ 

 Date of Sample: ___________________ 

 Time of Sample: ___________________ 

 Date of Test: ___________________ 

 Time of Test: ___________________ 

 Hardness: ___________________ Compensated Hardness (With Iron): ____________ 

 Iron: ___________________ 

 Chlorine: ___________________ Nitrites _____________________ 

 Nitrates _____________________ 

 pH: ___________________ 

 Tannin-Lignin: ___________________ 

 Manganese: ___________________ 

 Total Dissolved Solids:___________________ 

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