Name
Mr. Ms Mrs. Miss Dr.
First name:     Last name: (Required)


Address

Title:               Organization: 
Street address: 
Street address: 
City:               State or Prov:     Postal/ZIP code: 
Country:        

Phone:              Fax: 
E-mail address: (Required)

Type of Separator

Gravity Clarifier,          Circular,       Rectangular
Inclined Plate Thickener,   Dissolved Air Flotation (Sludge above, liquid below)
Other (Describe)

Traveling Scrapers & Skimmers

Does the separator have a traveling bottom scraper?   NO  YES
Does the separator have a traveling top skimmer?      NO  YES

Solids Concentration and Color

Liquid Infeed    mg/L, Color 
Underflow Sludge mg/L, Color 
Overflow Liquid  mg/L, Color 

Note: Describe color, i.e. pale gingerale; dark brown; water clear; milk; etc.

Liquid and Sludge Characteristics

pH  Temperature °C or °F
Sewage Sludge ------ Primary  Secondary
Industrial Sludge -- List major components 
Liquid Is Water
Other -------------- List major chemicals 

Depth (Gravity Settlers)

Total depth (Liquid + sludge)  inches cm
Sludge depth from bottom of tank ranges from  to  inches cm
Sludge depth readout desired from: Bottom of tank up to sludge/liquid interface
                                   Liquid surface down to sludge/liquid interface

Power Available

120/60 220/50 Other  (Specify)
Length of cable required from Probe to Controller (50ft/15m is standard)
 Feet Metres
Number of instruments required 

Disolved Air Flotation Only

Provide cross-section elevation with dimensions from sludge surface to bottom of skimmers,
and to bottom of sludge baffle and to tank bottom. Also supply sludge layer thickness
desired, both maximum and minimum. We prefer dimensioned plan and cross section drawings
via mail or fax. Please do not fax us miniatures. Fax full size segments and we will paste
it back together here.

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