Evaluation & Information Form for Potential APS Application
*Required Field
FACILITY INFORMATION:
*Company Name:
*Contact Person:
*Telephone number:
*Street Address:
*City & State (Province):
Postal/Zip Code:
Country:
*Email Address:
Fax Number:
Type of Operation:
#Days per week operational:
#Weeks per year of operation:
Natural Gas (therms/day & month):
Gas cost per deca-therm:
Hydrogen
CO2
Neither
Does operation use:
Additional Information?
SOLIDS WASTE STREAM INFORMATION: (green, collected food, food processing, etc.)
Waste stream-1 (type, tons/day or week)
Waste stream-2 (type, tons/day or week)
Waste stream-3 (type, tons/day or week)
Estimated moisture content of waste stream
Waste stream-1 (type, moisture content)
Waste stream-2 (type, moisture content)
Waste stream-3 (type, moisture content)
Is material collected every day, weekly, or ??
Additional Information?
WASTE WATER STREAMS INFORMATION:
#Gallons of wastewater per day:
#Gallons after treatment:
% Wastewater from clean-up only:
Temperature of water stream (avg. flow):
Allowable BOD rate in discharged water MG/L:
BOD mg/l or lbs of BOD in waste stream:
% Total solids in waste stream:
% Volatile solids in waste stream:
Lbs of sludge solids generated:
Additional Information?
WASTE DISPOSAL COST INFORMATION:
Cost of waste stream (weekly or monthly):
Additional waste disposal costs incurred:
Cost of concentrating wastewater stream
Trucking costs for solid waste disposal:
Disposal costs at disposal site:
Wastewater discharge costs (per wk or mth):
Cost per gallon discharge:
Cost of purchased water per gallon or acre foot:
Potential value of reclaimed water:
Additional Information?
How did you hear about
Onsite Power Systems?
*Required Field
ANAEROBIC PHASED SOLIDS (APS) DIGESTOR SYSTEMS