Date Contacted: ________________
Alken-Murray Distributor:_____________________________________________
Client: ____________________________________________________________
Address: __________________________________________________________
_________________________________________________________________
_________________________________________________________________
Phone: _______________________ FAX: _______________________________
Contacts: __________________________________________________________
(Name) (Title)
__________________________________________________________________
(Name) (Title)
Description
Ground Spill Cleanup:
- Source of the contamination: _______________________________________
- How deep is the contamination? __________ feet______meters.
- Estimate the cubic meters______ or acre-ft ______
of zone of contamination.
- Type of soil: Sand________ Clay__________ Loam_______
Other_______
- pH of soil________________
- Alkalinity of soil__________________
- Temperature: Air_____________ Ground_____________
- Natural moisture content of soil?___________________
%
- Current range of TPH__________________________________
ppm
- Target remdiation goal of TPH_________________
ppm
- Current range of PAH______________________ ppm
- Are there any heavy metals? Yes No
- If the answer above is yes, list metals and ppm:___________________________
- Carbon level in soil_____ Nitrogen level _____
Phosphorus level ____ (ppm)
- Is a tractor and offset disc harrow available
to till the soil? Yes
No If yes, describe
equipment:______________________________________________
- How deep can your disc blades till?__________________________________
- How often is it practical for you to till the
soil?__________________________
- Do you have, or can you set up, a movable irrigation
system to keep the soil moist? Yes No
Used Drilling Mud
- Source of drilling mud: _______________________________________
- Volume per month_____ year______
- Temperature: Air_____________ Ground_____________
- Type of soil: Sand_______ Clay______ Loam_______
Other________
- pH: ________________
- Alkalinity:__________________
- Current range of TPH (total petroleum hydrocarbons)_________________________________
ppm
- Target remdiation goal of TPH_________________
ppm
- Current range of PAH______________________ ppm
- Are there any heavy metals? Yes No
- If the answer above is yes, list metals and ppm:___________________________
- Carbon (ppm) in contaminated mud_____ Nitrogen____
Phosphorus _____
- Is mechanicical separation as a first step to
decrease the concentration of TPH an option? Yes No
- If the answer to the above question is "Yes",
what volume of drilling mud will remain?_______ per_____ What will the
TPH of this waste be?_____________
- If mechanical separation is employed to decrease
the TPH concentration, will
- Ingredients in fresh, uncontaminated
mud (this is NOT the same as contents
of mud containing drill cuttings):
- Is land farming considered an option? Yes No
- Is a tractor and offset disc harrow available
to till the soil? Yes
No If yes, describe
equipment:______________________________________________
- How deep can your disc blades till?__________________________________
- How often is it practical for you to till the
soil?__________________________
- Do you have, or can you set up, a movable irrigation
system to keep the soil moist? Yes No
- Instead of land farming, are you using any of
the following processes: Static pile composting?_____ Slurry phase treatment?
Activated sludge treatment?_____ Fluidized bed?________
- If any of the above are selected, please draw
diagram of system and flow below.
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