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Forms > Evaporation Project Data Sheet

Your Contact Information
Please briefly describe your project requirements *
Company Name
Contact Name (First/Last) First: Last:
Street Address
City, State, Zip City: State: Zip/Postcode: Country:
Phone / Fax Phone: Fax:
Email
Project Information
Project Name
Project Location
Source
Landfill
Industrial
Other
Effluent Type
Industrial
Leachate
Condensate
Organic
Other
Total Solids (mg/l ppm)
Chlorides Present
PH
Ave. Gal. per day
Gal. per month
Peak Gal. (24 hrs)
Method of storing Effluent
Capacity Gal.
Separate condensate tank YES NO Size Gal.
Disposal for trucking & treatment $ 0. per gallon
Fuel Source  
LFG
Natural
Propane
Landfill Gas Available YES NO Size Cu. Ft. per day CFH SCFM
  BTU Value
Flaring Gas Now YES NO Type of Flare : Candlestick Enclosed
Utility Cost:  
Electrical Cost per KW $ Phase Volts Hz
  Natural Gas cost per therm $
Propane cost per gallon $
Is Shop Air Available? YES NO

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