COMPANY
FULL NAME
ADDRESS
TOWN
TEL.
NO
COUNTY
ZIP
FAX
PRIVATE
PLANT LOCATION
ANY NOTES
.......................................................................................................................................................................................................................................
.......................................................................................................................................................................................................................................
SETTLEMENT TYPE
SERVICE AREA
BUSINESS ACTIVITY
CAR PARK
DEPOSIT/WAREHOUSE
ROAD
COVERED:
Fire extinguishing flow .......................
or washing (manual, automatic) .......................
UNCOVERED:
size of the area (m
2
) .......................
TYPE OF TREATMENT
RAINWATER IMMEDIATE
TREATMENT
PLANNED ACCUMULATION
SUBSEQUENT
FINAL DRAINAGE
IN SURFACE WATER IN
SEWER
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)
LEVEL DIFFERENCE BETWEEN THE EXIT PIPE OF THE ENTRY POINT OF THE PLANT AND THE LEVEL OF THE COUNTRYSIDE
cm ...........
DIAMETER OF OUTLET PIPE IN THE INLET POINT IN THE PLANT cm ...........
LEVEL DIFFERENCE BETWEEN THE POINT OF ENTRY IN THE RECEIVING BODY AND THE LEVEL OF THE COUNTRYSIDE
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 ..................................
70