Important Information about your Culligan Water System
Please fill in the information below for future reference� If you have any questions regarding your Culligan water
system, please contact the dealer that installed your system for assistance�
Addition information may also be found by visiting:
System and Dealer Identification
System Name
Model Name:
In & Out Head Serial #:
Tank Dimensions (W" x H"):
Date of Installation:
Tank Serial #
Culligan Dealer:
City/Town:
Dealer Phone #
State:
Recommended Service
Recommended Owner Service Interval for Cartridge Filter (if applicable):
3 month: ________ 6 month: _________ 9 month: ________ 12 month: _________
Recommended Dealer Service:
_____ Evaluate Condition of CullACT Media
_____ Replace CullACT Media Every 3-5 Years or as Necessary
_____ Replace Cullar D+ Activated Carbon Media Every 3-5 Years or as Necessary
Water Analysis
Hardness _____________________ grains/gallon
Total Dissolved Solids - TDS ___________________ mg/l
pH level (acidity) ______________________ S�U�
Alkalinity _______________________________ grains/gallon
Chloride ____________________________ mg/l
Manganese __________________________________ mg/l
Sodium _____________________________ mg/l
Hydrogen Sulfide (H
2
S) _________________________ mg/l
Iron ________________________________ mg/l
Chlorine ___________________________________ mg/l
Other __________________________________
Other _________________________________________
NOTE!
mg/l (milligrams per liter) and ppm (parts per million)
are equivalent units of measurement and 1 grain = 17.1 mg/l
Records and Data
12
01037540 C 02/21
