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QUESTIONNAIRE - Domestic effluent

1. Customer´s data

Name of customer :
Address :
Telephone No. :
Fax No. :
E-mail :
Person in charge :

2. Wastewater Quantity

Daily Flow (m³/day) :
Max. Flow (m³/hour) :
Population equivalent (P.E.) :

3. Wastewater Quality

BOD₅ (Biological Oxygen Demand) (mg/l) :
BOD₅ loading (kg/day) :
COD_Cr (Chemical Oxygen Demand - Dichromate) (mg/l) :
COD_Cr loading (kg/day) :
Total SUSPENDED SOLIDS (mg/l) :
Total NITROGEN (mg/l) :
Total PHOSPORUS (mg/l) :
FAT, OIL, GREASE (mg/l) :
SO₄^2- (mg/l) :
pH :
TEMPERATURE (^oC) :

Is domestic effluent mixed with industrial effluent? If yes please idicate the following:

Type of industry :
FLOW RATIO (%) :
Daily Flow (m³/day) :
Max. Flow (m³/hour) :
Cu (mg/l) :
Zn (mg/l) :
Co (mg/l) :
Ni (mg/l) :
Cr (mg/l) :
Hg (mg/l) :
Ag (mg/l) :
Al (mg/l) :
Others (mg/l) :

4. Requested Quality of treated water

quality of treated water according to the local law No. :
Water reuse :
Main purpose of water reuse :
BOD₅ (Biological Oxygen Demand) (mg/l) :
COD_Cr (Chemical Oxygen Demand - Dichromate) (mg/l) :
Total SUSPENDED SOLIDS (mg/l) :
Total NITROGEN (mg/l) :
Total PHOSPORUS (mg/l) :
FAT, OIL, GREASE (mg/l) :
SO₄^2- (mg/l) :
pH :
TEMPERATURE (^oC) :
TDS (Total dissolved solids) (mg/l) :
Heavy metals (mg/l) :Heavy metals (mg/l) :

5. Site data

Available area length x width (m) :
Drawings of the site are available :
Ground water level (m) :
Soil composition data are available :

6. Existing waste water treatment

We have existing plant :
Supplier of the existing plant :
Date of the plant construction :
Short description of the existing treatment process :
Main problems in operation :

7.Offer submision

Date of submision :
How many copies must be submitted :
performance level :	preliminary detailed study
Do you have tender specification :

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