Date Contacted: ________________
Client: ____________________________________________________________
Address: __________________________________________________________
_________________________________________________________________
_________________________________________________________________
Phone: _______________________ FAX: _______________________________
Contacts: __________________________________________________________
(Name) (Title)
__________________________________________________________________
(Name) (Title)
Industry type (Products manufactured):
____________________________________________________________________
System Description
Primary Treatment System:
1. Equalization volume: __________ MGals.
2. Daily influent flow: __________ MGals./Day
3. Clarifier equipt.: _________________________________________________________
(Brand, Model and Type specifications)
Secondary Treatment System
1. Type & Qty: Activated Sludge Basin(s):________________________________________
Aeration Lagoon(s):___________________________________________________
Fixed Film Reactor(s):__________________________________________________
Other:_____________________________________________________________
2. Volume/Dimensions:
Activated Sludge Basin(s):_______________________
MGal Actual
Aeration Lagoon(s):____________________________
MGal Actual
Fixed Film Reactor(s):_______________________________
Cubic ft. |
3. Hydraulic Retention Time:______ hrs days
(circle one)
4. Mean Cell Retention Time:______ days
5. Food to Mass Ratio:______ (Food ÷ Mass)
6. Type and Qty of Aerators:_________________________________________________
(Floating or Fixed)
Diffused Aeration:_________________________________________________
(Qty & Horsepower)
7. Secondary Clarifier Equipt.: ________________________________________________
(Brand, Model and Type specifications)
Dimensions:________ ft. x ________
ft. x ________ ft. (length x width x depth)
________ ft. x ________ ft. (diameter
x depth)
Solids Flux:______________ lbs./ft²/day
Sludge Blanket Depth:________ ft. |
Tertiary Treatment
1. Phosphorus removal: (Chemical precip.)_____________________________
mg/L
2. Ammonia removal: (nitrification)_________________________________
mg/L
3. Nitrate removal: (denitrification)__________________________________
mg/L
4. Final aeration: (D. O.:)_______________________________________
mg/L
5. Final chlorination/disinfection: (residual
Cl)_________________________ mg/L |