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