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     WASTEWATER APPLICATION BLANK 
    If you have questions, or would like more information, please leave your name and contact information.

    First Name:
    Last Name:
    Email Address:
    Address:
    City:
    State:
    Zip Code:
    Comments:
    Security code:
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    EXISTING WASTEWATER SYSTEM
    System Type
    Describe Existing Wastewater System
    New Installation
    Replacement
    If Replacement Brand and Model Being Replaced
     
    Type of Materials Processed
     
    Average and Peak Flows Per Hour or Per Day
    Current BOD Input Level
    Current FOG Input Level
    Type of Fat/Oil in Water
    Current TSS Input Level
    Describe Solids in Water
    Current COD Input Level
    Current Input TKN Level
     
    Comments:
     
    DISCHARGE WATER
    Discharge Water Temperature
    Discharge Water pH
    DISCHARGE LEVELS
    Current BOD Discharge
    Current FOG Discharge
    Current TSS Discharge
    Current TKN Discharge
    Water Has Following Detergents Added
    Current System Discharges to:
    Water Has Following Chemicals Added
     
    Currently Subject to a Monthly Surcharge of $$
     
    Dimensional Information
     
    PROCESS INFORMATION
    Length of Process Day
    Length of Cleaning Cycle
     
    GOALS
    I would like someone to
     
    TO BE FILLED OUT BY APPLICATIONS GROUP
    System Location
    Inlet Orientation
    Outet Orientation
    System Fed By:
    Existing Pump: Type Brand Model Capacity
    Physical Limitations: Height Width Length Door Opening etc.
    Aeration Desired Yes/No
    Aeration % Recycle
     
    Electrical: Voltage
    Starter Panel
    Control Panel
     
    Notes & Comments
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    * indicates a required field


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    ALLOY HARDFACING and ENGINEERING CO., INC.
    20425 Johnson Memorial Drive, Jordan, Minnesota 55352 USA
    Phone: +1.952-492-5569
    +1.800-328-8408
    FAX: +1.952-492-3100
    Email: Juliek@alloyhardfacing.net
    6:00 am to 5:30 pm M-F CST
    Weekends and Holidays as well

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