NOTE: Required fields are marked with a *.
Facility Name: *
Contact Name: *
Email Address: *
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Address Line 2:
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WASTEWATER CHARACTERISTICS
1.
Is the spill contained or in open water?
Contained Open water
2.
How thick is the contamination on top of water?
Feet:
Inches:
or Meters:
Millimeters:
3.
How old is the spill?
Days:
Weeks:
Months:
4.
Estimate the size of the zone of contamination:
Indicate whether ft3 or m3 below
Enter the length
Enter the width
Enter the depth
ft3 m3
5.
Type of Water:
Saltwater:
Freshwater:
Contained Water:
Other
If Other, Describe:
6.
Salinity of water in %:
7.
pH of Water:
8.
Alkalinity of Water:
mg/L
9.
Temperature:
Air:
°C
°F
Water:
10.
Source(s) of Contamination (please describe ranges and types of compounds encountered)
a)
b)
c)
d)
e)
11.
Current range of TPH (Total Petroleum Hydrocarbons) in ppm:
TPH: ppm
12.
Current range of PAH (Poly Aromatic Hydrocarbons) in ppm:
