Request Form
REQUEST FORM FOR WASTE WATER PURIFICATION SYSTEM
Date
Project Name
Project Location
Application / Description
Relevant details:
Collection System Type:
Collection Pipe Length:
Meters
Sludge Disposal Type:
Calculation of Wastewater Flow:
Design Flow:
Actual Flow:
Max. Daily Flow:
Peak flow or peak factor:
Input Values
Seasonal Flow:
Period
Measuring Device
Grinder:
Waste water temperature (the lowest temperature is 12° C):
Altitude (above sea level)
Parameters
Raw
Settled
pH:
BOI5:
COD:
TSS:
TKN:
Akalinity:
Nitrogen:
Oil & Grease:
Phosphorus:
Other:
Disinfection Type:
Tank Material Type:
Isolation:
Prefered package treatment type:
REQUIRED OUTPUT VALUE
Waste requirements specify a location:
For example, the waste pipe system; ground interface; the property line

Please specify required output value.
pH:
CBOO5:
BOD5:
COD:
TSS:
Nitrogen:
Nitrate Nitrogen:
Total Nitrogen:
Oil & Grease:
Phosphorus:
Fecal Coliform:
Dissolved Oxygen:
Turbidty:
Other:
EQUIPMENT REQUEST FORM
Company Name:
Contact Person:
Service Industry:
Phone Number:
Fax Number:
E-mail Address:
Address:
Equipment Name:
Equipment Capacity:
Material Properties:
Other Features:
Notes: