In many situations the people starting the brewery realize they don't know everything and hire consultants to advise them on things like refrigeration/chilling, water supply, brewhouse construction... It is well to have the water at a location under consideration tested before deciding to locate there. One can make beer with anything but treatment will be required if the water is as alkaline as implied here and that treatment has to be planned for in terms of the capital and operating costs associated with it. If possible, I would not choose a location with water that hard/alkaline but if there are no alternative sites that meet other requirements they are stuck with what they have got.
Lime treatment is feasible and has been done in many a brewery over time but it is messy, requires some analysis, and leaves one with a mess of calcium carbonate to dispose of. A more modern approach would be softening followed by RO. There are implications here of capital costs (1000 GPD - 33 bbl - skids are now available for about $3K) and operating costs (it takes energy to push the water through the membranes), maintenance costs (the membranes and filters have to be replaced periodically) and disposal of the concentrate which may require municipal approval. But you plumb the system up, turn it on and check on its performance by looking at the TDS meter once per day (or per gyle) and that's about it.
As for professional brewers not knowing how to measure pH: It's better than it used to be. At a recent MBAA regional meeting I asked how many present checked mash pH on a regular basis. About 15 hands went up. I asked how many never checked it at all and about 3 went up. Not a scientific survey by any means as half the people in the room were not brewers (i.e. suppliers to brewers) and some breweries had more than one guy in attendance.
At that same meeting I was asked, by a professional brewer, as to whether he should use metabite to reduce his chloride and by someone from the lab of a well known yeast supplier whether pH meter ATC shouldn't correct for changes in mash pH with temperature.
Lots of professional brewers, especially recently, are homebrewers who have a couple of friends who are doctors, lawyers, investment bankers... Even some who have been to the degree granting brewing schools have forgotten more than they know about brewing science and still others are of the opinion that one should not adjust his water because water gives his beer it 'house character'.
As for the efficiency - no, it doesn't depend much on mash pH which is a compromise with respect to many enzymes in the first place and in the second more dictated by the flavor quality of beer than efficiency. A commercial operation should see efficiencies (pounds of extract produced vs. pounds of grain mashed) in the 70's preferably the high 70's. This assumes, of course, the the coarse grind HWE of the malts being used is 80% or more. 63% or even 68% seems low. I would say they have problems beyond what mash pH adjustment can fix (though mash pH adjustment is very important). What did the mash pH measure?
Obvious things to look at are grind and mash temperature.
Is the alkalinity indeed as high as implied? Do they do anything about it (phosphoric acid)?