TENESOL

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PERSONAL INFORMATION

Title* :	Mr Mrs Ms
Last Name* :
Company* :
Address*:
Postal Code* :
City* :
Country*:
Tel.:
Fax:
E-mail*:
TECHNICAL INFORMATION ABOUT THE SITE
Country:
Latitude:
Longitude:
Name of the site:
Sunniness (monthly average in W/m2/day):
Min:
Max:
Water volume required (average, or by season) in m3/day:

	(1) Distance from pumping: meters
	(2) Volume of the tank: m3
	(3) Height : meters
	(4) Diameter of pipes: mm or inches
	(5) Static level: meters
	(6) Dynamic level during dry season: meters with a flow of: m3 / hour
	(7) Total depth: meters
	(8) Diameter of drilling (or of well): inches or meters
	Water temperature: °C

Additional Informations :

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