Please fill out this form and submit it to Bio-Form LLC Technical Services.
NOTE: Required fields are marked with a *.
Facility Name: *
Contact Name: *
Email Address: *
Address Line 1: *
Address Line 2:
City: *
State/Province: *
Zip/Post: *
Country: *
Telephone: *
Fax:
Facility Type:
Plant Name:
How many levels in building?
Number of plumbing calls per month:
Special Circumstances:
FORMULAS FOR DETERMINING GALLONS TO TREAT:
Formula for rectangular or square container: (L x W x D = cubic feet x 7.4805 = gallons of capacity to treat.) [Multiply length (m) x width (m) x average depth (m) = cubic meters]
Formula for round container: (Diameter x diameter x average depth x 5.9 = gallons of capacity to treat) Π r2 h1 = m3/ft3 (Π=3.14)(r = radius in m/ft) (h = height is m/ft)
BZT® WASTE DIGESTER
Oil & Grease buildup on floor
How Many:
Domestic/Commercial:
Size (Diameter or Length Width & Depth):
See formulas above to determine gallons to treat
Additional Information
Trench Drains (Mfg. area)
Waste Lagoons
Grease Trap
Floor Drains
Septic Tanks
Organic Waste Disposal Tanks
Type Fluid: Beyond Limits? Yes No
NOTE: You may be aked to provide a flow diagram. We will advise.
Garbage Disposal
Sink Drains
Bathrooms
Urinals
Toilets
OBT™ OIL DEGRADATION TREATMENT
Do you use Machine Coolants?
Coolant Type:
Soluble Oil Semi-Synthetic Synthetic
Brand
Waste Oil Tanks
Are you being charged for disposal?
Yes No
Approximate monthly cost:
Approximate annual cost:
Sludge Tanks
Other Storage Tanks
Contents:
BZT® AQUACULTURE
Cooling Towers
Type:
Volume:
Flow Rate:
Explain:
Algae Problems?
Lakes Ponds Aquariums Decorative Fountains
(See BZT® Aquaculture Pond Treatment Checklist AFTER submitting this form)
Please note: We do not share your information with any third parties. Read our Privacy Policy here.
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