3
JOB SPECIFICATION SHEET
MODEL NO. __________________________________________________________________________________________
*WATER TEST AT TIME OF INSTALLATION
_______ Hardness CaCo
3
(gpg)
______ Other______________________
_______ Iron (ppm)
______ Other______________________
_______ pH
______ Other______________________
*SIZING INFORMATION
All Water is Softened Except:
_______ Rear Hose Bib _______ Front Hose Bib _______ Kitchen Cold
_______ Toilets _______ All Cold
_______ Other ________________________________________________________________________________________
The average family uses 50 gallons per person daily for all water uses in the home, about 40 gallons per person daily if soft water
is not supplied to the toilets, and about 30 gallons per person daily if only hot water is softened.
_______ Daily Water Usage (Gallons/Person)
x _______ Family Size (Number of people in family)
= _______ Total Gallons Per Day
x _______ Grains Per Gallon of Hardness
(Note: Add 3 grains per gallon of hardness for each ppm iron for total compensated hardness)
= _______ Total Grains Per Day
*INSTALLATION DATE _________________________________________________________________________________
*REVISION (REV) NUMBER _______________________________________________________________________________
NOTES ______________________________________________________________________________________________
____________________________________________________________________________________________________
Dealer Name __________________________________________________ Phone _______________________________
Address _______________________________________________________ Email ________________________________
____________________________________________________________________________________________
Hellenbrand products are not for sale or distribution into the State of California effective 8/31/18