COMPANY
FULL NAME
ADDRESS
TOWN
TEL.
NO
COUNTY
WASTEWATER PLANT DATA SHEET
ZIP
FAX
PRIVATE
PLANT LOCATION
ANY NOTES
.......................................................................................................................................................................................................................................
.......................................................................................................................................................................................................................................
BUSINESS ACTIVITY
SETTLEMENT TYPE
DOMESTIC
PRODUCTIVE/COMMERCIAL
No. of shower users .................
No. of toilets users .................
No. of total users .................
FINAL DRAINAGE
IN SURFACE WATER
IN SEWER
INTO THE GROUND
RESTAURANT INDUSTRY
No. of place settings for lunch .................
No. of place settings for dinner .................
No. of total place settings .................
No. of employees .................
Daily water flow (lt/d) .................
Peak flow (lt/h) .................
PROJECT TYPE
NEW PLANT
MODIFICATION OF EXISTING PLANT
In the case of existing plant, attach a brief description
indicating the main relevant parameters (type of
system, efficiency, project size, utilities)
No. of fixed inhabitants .................
PEAK FLOW (LT/H)
SINGLE
SEPARATE
LEVEL DIFFERENCE BETWEEN THE EXIT PIPE OF THE ENTRY POINT OF THE PLANT AND THE LEVEL
OF THE COUNTRYSIDE cm ...........
DIAMETER OF OUTPUT PIPE IN THE INPUT POINT IN THE PLANT cm ...........
HEIGHT DIFFERENCE BETWEEN THE POINT OF ENTRY IN THE BODY RECEPTOR AND COUNTRY PLAN cm ...........
ANY ATTACHMENTS
PLANS (even outlined)
ANALYSIS
N.B.: THE EQUIPMENT UPSTREAM AND DOWNSTREAM OF THE PLANT IS NOT OUR RESPONSIBILITY
RETURN THE FORM COUNTERSIGNED FOR CONFIRMATION OF PROJECT DATA DISCLOSED, BY, WHICH WE WILL DEVELOP OUR PURIFYING
PROPOSAL, MAKING ANY ADJUSTMENTS AND/OR CORRECTIONS.
SEND FORM TO: aquapura@elbi.it / Fax 049.8841610
DATE .....................................
STAMP AND SIGNATURE ..................................
50
