Alken-Murray Corporation Lift Station Survey Form

Lift Station Survey Form

Fill in ONE form for each Lift Station

Date: ________________

Lift Station Number______________________________________________________________________________

Client: ______________________________________________________________________________

Address: ______________________________________________________________________________

______________________________________________________________________________

Phone: __________________________________________ FAX:____________________________

E-Mail: _____________________________________________________________________________

Service Representative:___________________________________________________________________

Capacity of Lift Station (# of gallons)

Dimensions

Daily influent ( if known)

Influent pH

Effluent pH

Alkalinity

BOD

COD

Hydrogen sulfide odor? Noticeable?

How thick is the grease cap?

Ammonia

Any problem with copper, lead, mercury?

Is this typical hotel waste or is it unusual? (Example: more pastries than most, lots of bacon or chicken fat)

How often are disinfectants used?

Do the disinfectants empty directly to this station?

Other than meeting discharge regulations, are there any other treatment goals? (Examples: odor control, clogged pipes, corrosion to pipes, etc.)

Discharge Permit information (attach sheet if necessary)

Questions About Current Product and How Applied

What sort of pump is used to apply current product?

Where does pump deliver dosage of product? (under surface, over surface, in one corner of the lift station)

How often is pump set to deliver product dosage and any other adjustments possible?

Name of the current product being used and what problems have you noticed?

Did you use any other products before this and how did you compare with your current product?

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