Fill out the form below with as much information so we may provide you with a free risk assesment analysis for installation of the LiquiTech system on domestic water distribution systems. ** Denotes Required Fields.

** Facility:
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Hot Water Systems: System 1 System 2 System 3 System 4           Age of Plumbing: Plumbing Material: Recirculation Flow Rate & Pressure: Instantaneous Heater: Hot Water Tank's Volume:           Loop Service         Number of Beds (per loop): Number of Floors: Average temperature of hot water loop? Does the water loop service immunocompromised or elderly patients? What type of disinfection is currently used? What additional types of disinfection have been used in the past? Does the facility test for Legionella? Have there been any confirmed cases of Legionnaires Disease in the past two years? Additional notes: