E.P.C ltd Onsite Wastewater Treatment Plant
------------------------------------------------------------------------------------------------------P.O.B. 8564 Shaar-Heffer - 42920 ISRAEL E-mail: epc@netvision.net.il
Tel: + 972-9-8826464 Fax: + 972-9-8612646
www.biorobi.com
Biological Treatment Background Information Form
By sending us the following data, we will be able to develop a cost-effective
treatment program specific to your problem. We will respond quickly and send a
proposal to you for your review and approval. The more information you can provide
us, the better we can tailor a solution to fit your needs.
Thank You.
Name of Company/Site: _________________________________________________
Address: _____________________________________________________________
City: _________________ State: _________________ Country: _________________
Postal Code: ________________________ Telephone: ________________________
Fax: _____________________________ Email: _____________________________
Designer: _______________________ Project Manager: ______________________
Main Activities on the site: ______________________________________________
1. What is the estimated daily water flow?_______________________________
2. What is the peak water flow (for 4 most busy hours)?____________________
3. What is the population size?________________________
4. No of people \ How many people will be there every day: _______________
5. No of families: ___________
6. Is there a peak season:_________________
7. When is the peak season?___________________________________
Existing ponds (if there are Existing ponds please fill questions 8-13:
8. How many open ponds do they have? __________________
9. Is it possible to use them as part of the future wastewater treatment?
______________
10. What are the dimensions (including depth) of each of them?
1
E.P.C ltd Onsite Wastewater Treatment Plant
------------------------------------------------------------------------------------------------------P.O.B. 8564 Shaar-Heffer - 42920 ISRAEL E-mail: epc@netvision.net.il
Tel: + 972-9-8826464 Fax: + 972-9-8612646
www.biorobi.com
11. What is the retention time in each pond?
12. Do they have any equipment working in the ponds? ____________
13. If yes please specify ______________________________
Tests Results
14. Incase you have test results please attach the results and Specify test location:
INFLUENT
DATA
Specify test
location:
Flow data (Gpd): Design
Ave.
Peak
pH:
BOD5:
COD:
TSS:
TKN:
Ammonia-N:
Oil & Grease (omit if traps are included):
Phosphorus:
Alkalinity:
Agriculture
15. Is there any agriculture wastewater that will be connected to the waste water
plant?
__________________________________________________________________
_______________________________________________________________
Please attach their tests results to this questionnaire.
Industries
16. Is there any industrial wastewater that will be connected to the waste water
plant?__________________________________________________________
_______________________________________________________________
Please attach the Test results to this questionnaire.
2
E.P.C ltd Onsite Wastewater Treatment Plant
------------------------------------------------------------------------------------------------------P.O.B. 8564 Shaar-Heffer - 42920 ISRAEL E-mail: epc@netvision.net.il
Tel: + 972-9-8826464 Fax: + 972-9-8612646
www.biorobi.com
Cooking
17. Is there a kitchens/restaurant/coffee shop if any?________________________
18. If there is a kitchen please answer the following:
19. Is there a grease trap (separator) in the kitchen(s)? ______________________
20. How are the dishes washed? (Please put an X by the correct answer)
By hand_____ by dishwasher______
Please note the circumference of the hose: __________________
21. Is there a garbage disposal in the kitchen(s)? ___________________________
22. Are there baskets or screens for holding food in the kitchen(s)?____________
23. Where do they stand? _________________
24. Please list all detergents and cleaning solutions that are used on the
premises:_______________________________________________________
25. Please note if there are any other sources of drainage water that may enter the
grease trap (separator) system such as water from washing floors or rainwater.
_______________________________________________________________
Please attach the Test results to this questionnaire.
26. Please specify the effluent data you would like to get after the wastewater
system will be installed:
EFFLUENT DATA
Please specify location of effluent requirements:
pH:
BOD5:
COD:
TSS:
TKN:
Nitrate-N:
Ammonia-N
Total
nitrogen:
Oil & Grease:
Phosphorus:
Other:
\\Zehavit\epc\A - ‫\חומרים של המשרד‬A - ‫\טפסים שונים\טופס פרטים ראשונים‬preliminary imformation-Village.doc
3