1. Customer Information
First Name
Last Name
Management
Representative
Technical
Representative
Tel
FAX

2. Nature of business

What do you manufacture/process

3. Production and Capacity

AVERAGE/DAY

TOTAL/WEEK

TOTAL/YEAR
Production A
Production B
Raw Material
Water/ (Specify Unit)
Production A
Production B

4. Manufacturing process (please describe briefly main principle for each process)

5. Working time
AVERAGE MAX. MIN.
Hours per Day
Days per Week
Weeks per Year
Is the production seasonal? If yes explain
 
6. uantity of wastewater
AVERAGE MAX. MIN.
Momentary variation
Wastewater per hour
Wastewater per day
Wastewater per week
Wastewater per year

 
 
7. Source and Composition of Process Water
   What type of water is used in the production?
 
8. What waste flows compose the total wastewater?
 
WASTE FLOW AVERAGE MAX. MIN.
e.g.: Cooling Water

Process Water A

Process Water B
other:
other:

  
9. Cleaning Schedule
 
10. Which added chemicals or other pollutants (e.g. tomato juice, detergents, etc.) does the effluent contain?

Quantity/Day

 
11. How will the effluent be treated before coming to our plant? 
e.g. screen settling tanks, chemical additives etc.
 (In case you have screens, please state diameter of holes)
 
12. What are the demands of the local authorities?
 
13. What fees are charged by the local authorities for release of effluent?
 
14. Does the wastewater contain material that can be screened?
 
15. Does the wastewater contain poisonous substances?
Does the wastewater contain toilet effluent?
 
16. Analytical data of the wastewater (Please state as many as possible)
AVERAGE MAX. MIN.
Temperature (summer):
Temperature (winter):
PH:
Settleable matter:
Total solids:
Volatile solids:
Chloride:
Nitrogen (Kjelddahl):
Protein:
Fat:
BOD:
COD:
Permanganate:

 
 
17. Description of any planned development and its influence on the wastewater:
 
18. Climate
NORMAL MAX./MIN.
Day Temperature summer:
Day Temperature winter:
Night Temperature summer:
Night Temperature winter:
 
19. Tap Water
Availability:
Pressure:
Available Supply:
Price:
 
20. Compressed Air
Availability:
Pressure:
Available Supply:
 
21. Electricity
Characteristics:

Voltage:

Phase:

Cycles:
Available Supply:
Price:
 
22. Steam
Availability:
Pressure:
Available Supply:
Price:
 
23. Chemicals
Sulphuric Acid :Characteristics
Supplied Quantity
Corresponding Price
Ferric Chloride :Characteristics
Supplied Quantity
Corresponding Price
Aluminium Sulphate :Characteristics
Supplied Quantity
Corresponding Price
Hydrated Lime :Characteristics
Supplied Quantity
Corresponding Price
Others :Characteristics
Supplied Quatity
Corresponding Price
 
24. If possible, please state local prices for following products
Dry Product (fishmeal/bonemeal)
Oil/Fat
 
25. Wages:

Unskilled:
(1 Man Hours)

Skilled:
 
26. Should the offer include sludge treatment?
 
27. Space available for Wastewater Treatment Plant in existing building (please enclose drawing)
Length
Width
Min. Height
 
28. Is the Wastewater Treatment Plant to be installed in a new building? (please enclose drawing with indication of available space).

Yes/No:
 
29. Other relevant information:
(Is the requested offer for new or existing production?)