Water Quality Form

Name of Source:

State:

District:

Taluka:

Village Name:

Gram Panchayat Name:

Quality of Water:

Color:

Odour:

Taste:

pH Content (0-14):

Turbidity Content (in NTU 1-3):

Total Hardness Content ((mg/ L) 200 to 600):

Chlorides Content ((mg/L) 250 TO 1000):

Total Alkalinity Content ((mg/ L) 200 TO 600):

Nitrate Content ((mg/ L) 45 TO 45):

Fluoride Content ((mg/ L) 1.0 TO 1.5):

Iron Content ((mg/ L) 0.3 TO 1.0):

Residual Chlorine Content (in units):

Calcium Content ((mg/ L)):

Magnesium Content ((mg/ L)):

Date: