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Bioremediation Survey
For Petroleum and Petrochemical Oil Spills (Land & Ground Oil Spills)

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:

 

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:

°C

°F


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: