For Petroleum and Petrochemical Oil Spills (Land & Ground Oil Spills)
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:
WASTEWATER CHARACTERISTICS
1.
How deep is the contamination?
Surface:
inches
mm
Sub Surface:
Feet
Meters
2.
Estimated size of contamination zone
Indicate whether ft3 or m3 below
Enter the length
Enter the width
Enter the depth
ft3 m3
3.
How old is the spill?
Days:
Weeks:
Months:
4.
Type of soil and % composition:
Sand:
Clay:
Silt:
Other (describe)
5.
pH of Soil :
6.
Temperature:
Air:
°C
°F
Ground:
7.
Water table depth:
Feet:
Meters:
8.
Moisture content of soil as %:
% Moisture:
9.
Source(s) of Contamination (please describe ranges and types of compounds encountered)
a)
b)
c)
d)
e)
10.
Current range of TPH (Total Petroleum Hydrocarbons) in ppm:
TPH: ppm
11.
Current range of PAH (Poly Aromatic Hydrocarbons) in ppm:
PAH: ppm
12.
Current range of BTEX (Benzene - Toluene - Ethylbenzene - Xylene) in ppm:
