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:
PLANT CHARACTERISTICS
Retention Capacity (m3 or gallons):
Primary Clarifiers used:
Yes No
Type of Secondary Treatment:
Activated Sludge Aerated Lagoon Non-Aerated Trickling Filter
Other (Specify):
WASTEWATER CHARACTERISTICS
1.
Average Daily Flow (m3 or gallons/day)
2.
Peak Daily Flow (m3 or gallons/day)
Dissolved Oxygen (mg/L)
3.
Wastewater Temperature (F° or C°)
4.
Raw Wastewater (Influent) Values (mg/L - monthly average)
BOD
COD
Total Suspended Solids (TSS)
FOG
Total Kjeldahl Nitrogen
pH
Ammonia Nitrogen (NH3-N)
Nitrate (NO3)
Total Phosphorus
Organic compound(s) / waste to be biotreated; specify type(s) and current effluent concentrations
5.
Effluent Values (mg/L - monthly average)
BOD:
COD:
Total Suspended Solids: (TSS)
FOG:
Total Kjeldahl Nitrogen:
pH:
Ammonia Nitrogen (NH3-N):
Nitrate (NO3):
Total Phosphorus:
Organic compound(s) / waste to be biotreated; specify type(s) and current effluent concentrations:
6.
Discharge Permit Limits
Others:
7.
How is effluent disposed of?
8.
Will effluent be reused?
9.
Yearly Sludge Production (specify units - tons, kg, m3)
Wet Basis: Dry Basis:
DESIRED BENEFITS FROM BIOTREATMENT PROGRAM (check most desired benefits)
Reduce Organic Compounds
Specify types and target concentration(s):
Reduce Sludge Production
Reduce Grease Build-up
Reduce Odors
Improve Effluent Quality:
BOD COD TSS FOG NH3
Other (specify)
You may be asked to provide a brief plant schematic with gallon capacities of components (Aeration Basins, SBR, Trickling Filters, Lagoons, etc.), indicating flow patters and major unit operations. Bio-Form LLC Technical Services will contact you with additional instructions and/or information requests. Should you have any questions, please contact us at any time for assistance.
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