Delta Packaged Wastewater Treatment Plants - Referral Form

* Required Field
Sales Referral Source *
Date of Referral *
RFQ Number
Distributor Name
Phone
1 Main sales contact requesting a submittal and quotation for a package wastewater treatment plant.
Contact Name *
Title
Address 1 *
Address 2
Address 3
City *
State *
Zip *
Email *
Phone *
Fax
2 Information on package wastewater treatment plant (required for quotation)
Project Name *
Plant Type:  Domestic
 Industrial
Address 1 *
Address 2
Address 3
City
State
Zip
 
Engineering Firm *
Engineer's Name
Address 1
Address 2
Address 3
City
State
Zip
 
Due date for submittal and quote *
Number of submittal copies required *
3 Hydraulic Conditions
Hydraulic Load (Design) *
GPD
Inflow Period *
Hours/Day
Peak Daily Flow *
Peak Hourly Flow *
GPD
4 Influent Parameters (mg/l)
BOD5 *
TSS *
COD
NH3
pH
Phosphorus
FOG
5 Effluent Requirements (Permit)
BOD5 (winter) *
BOD5 (summer) *
TSS (winter) *
TSS (summer) *
NH3 (winter) *
NH3 (summer) *
Fecal/Coliform *
TN *
Phosphorus *
D.O. *
6 Power Available
Volts
Phase
Hz
Electrical Requirements
7 Desired Equipment
Check all that apply
Flow Equalization Sludge Holding Cholrination
Ultravoilet Disinfection Comminutor Decholrination
Teriary Treatment Flow Measurement
8 Site Criteria
Type of Application (subdivisions, school, factory) *
Location
Above Ground      Below Ground
Elevation
Below 5000 ft.      Above 5000 ft.
Type of Construction
Coated Steel      Stainless Steel      Concrete
Coating
Standard Coal Tar Epoxy      Special
Sand Blasting
Standard SPC6      Standard SPC10 - Near White
 
Constraints or Conditions
Name of Other companies competing for the project
Notes

Please only click Submit button once.