MIL-HDBK-1165
APPENDIX B (Continued)
Unit Number_______________
Location____________________
Serving_____________________________________________________
Capacity/Tons_____________
Concentration Ratio_________
Manufacturer_________________
Model_______________________
Process/HVAC________________
Hours/day___________________
MAKEUP
Water Source_________________
Meter Number________________
Backflow protected__________
Pretreatment________________
Consumption Daily____________
Annual______________________
Makeup Conductivity_________
Compressed Air Available____
CHEMICAL TREATMENT
Biofouling Chemicals________
Annual Cost_________________
Descale Chemicals___________
Annual Cost_________________
Method of Control________________
FILTRATION
Type: Side Stream/Full Flow_________________________________
BLOWDOWN
Control Type: Conductive/Timer/Fixed Rate___________________
Conductivity________________
PH Level____________________
Bleed off: Daily____________
Evaporation_________________
LABOR
Maintenance Man hours_______
Cleaning Man hours__________
Sketch Layout on Back of Form
Figure B-3
93