Air Stripper Inquiry Form

Please provide the following contact information:
Company Name
*Contact Name
*Phone Number
Fax Number
*Email
Project site location / reference

The following should be filled in as completely as possible to help us understand your application.
(Disregard questions not applicable).
  
A1 Your purpose in providing the information is to allow us to:


Other
A2 How soon / by what date do you wish us to respond?
B1 Source of contaminated water (check one or more): B2. Contaminants - generic description:




Other






Other
B3 Operation will be:
  
(Describe conditions) 		B4. A batch treatment may be a most economical option:
Is water released in batch quantities (from process etc.)?
Existing sumps, tanks, etc. available?
volume:
batch release every hrs.
B5 Destination of treated water is:


Other
B6 Discharge from stripper will be:
   		B7. Do you desire stripper height to be limited?
, to approximate
C1 Water flow C2. Influent temperature max., min.
C3 Requirements:
Name Influent Conc. Unit Effluent Conc. Unit % removal
 1.
 2.
 3.
 4.
 5.
 6.
 7.
C4 Minimum ambient winter temperature   (location:)
C5 Describe fluctuation, if any, of above conditions:
 C6 Are there other requirements or specs to be met?
C7 Are there other chemicals in the water / other circumstances we should know about?
 C8 Will stripper air discharge be subject to treatment?
If "yes" limits imposed on discharge are:
D1 Estimated time of procurement / contract aware is within the next
D2 Importance of energy costs / operating costs:




     Life of the facility is years
D3 Will your Company be the one:
   
 
E1 Your Company is (check all applicable):







Other
E2 If you have other comments and information