Questionnaire - Waste Water Form
 
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Note: Please Provide As Much Or As Little Information
As Needed To Characterize Your Application.

Industry Information
Minerals Creosote Hydrocarbons
Calcium Compounds Fuel Oil Bio Fules
Paper/Pulp Suspended Solids (TSS) Chemicals (PCB)
Gypsum/Graphite Plastics/Resin Limestone/Quarry
Wastewater Fats, Oils & Greases  
Other 

General Information
Application: 
 Creosote Hydocarbons Calcium Compounds
Flow Rate:      Water is Reclaimed?:  Yes  No
Feed Cycles (If Applicable):  Batch Continuous  
Temperature: 
    pH:   
Waste Water Contains Solids (%)   Oils (%)   Both (%) 
Process/Application (Description):
Current Technology Used:

Water Source Information
Liquid Description: 
Solids Description: 
Chemical Additives: Yes  No 
Describe, If Yes:
Water Discharging To:
Injection Well Treatment Plant Stream/River
  Holding Pond Recycle Other
 

Additional Comments

 
 
Filtra-Systems Headquarters
23900 Haggerty Road
Farmington Hills, Michigan 48335
ph. 248-427-9090
fax. 248-427-9895 		Filtra-Systems - China
George Qiao - China Business Manager
1F, Bldg. 36#, 458 North Fu Te Road
Shanghai, Waigaoqiao, F.T.Z. 200131
ph. 011-86-21-58682809-114
fax. 011-86-21-58682803
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