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Forms
> Evaporation Project Data Sheet
Your Contact Information
Please briefly describe your project requirements
*
Company Name
Contact Name (First/Last)
First:
Last:
Street Address
City, State, Zip
City:
State:
Zip/Postcode:
Country:
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
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Austria
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Bouvet Island
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Burkina Faso
Burundi
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Cameroon
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Chad
Chile
China
Christmas Island
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Cook Islands
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Croatia
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Denmark
Djibouti
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Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
Former Czechoslovakia
France
French Guyana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea Bissau
Guyana
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Hungary
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Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
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Malaysia
Maldives
Mali
Malta
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Mauritius
Mayotte
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Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
Neutral Zone
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Ireland
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Island
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Helena
Saint Lucia
Saint Vincent and Grenadines
San Marino
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
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Slovenia
Solomon Islands
Somalia
South Africa
South Korea
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Tadjikistan
Taiwan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
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United States
Uruguay
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Vanuatu
Vatican City State
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Virgin Islands (USA)
Wallis and Futuna Islands
Western Sahara
Western Samoa
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Phone / Fax
Phone:
Fax:
Email
Project Information
Project Name
Project Location
Source
Landfill
Industrial
Other
Effluent Type
Industrial
Leachate
Condensate
Organic
Other
Total Solids
(mg/l ppm)
Chlorides Present
PH
Ave. Gal. per day
Gal. per month
Peak Gal. (24 hrs)
Method of storing Effluent
Capacity
Gal.
Separate condensate tank
YES
NO
Size
Gal.
Disposal for trucking & treatment
$ 0.
per gallon
Fuel Source
LFG
Natural
Propane
Landfill Gas Available
YES
NO
Size Cu. Ft. per day
CFH
SCFM
BTU Value
Flaring Gas Now
YES
NO
Type of Flare : Candlestick
Enclosed
Utility Cost:
Electrical Cost per KW
$
Phase
Volts
Hz
Natural Gas cost per therm $
Propane cost per gallon $
Is Shop Air Available?
YES
NO
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