Facility Data Sheet - Wastewater

Treatment

Date:
Contact Information
Facility Name:
Contact Name:
Address Line 1:
Address Line 2:
City, State Zip Country:
Phone: Fax:
Type of Facility:
Plant Name:

Plant Characteristics
Retention capacity (m3 or gallons): Type of Secondary Treatment:
Primary Clarifiers Used? Yes No Activated Sludge Trickling Filter
Aerated Lagoon Non-Aerated
Other (Please Specify)

Wastewater Characteristics
1. Average Daily Flow (m3 or gallons/day):
2. Peak Daily Flow (m3 or gallons/day): Dissolved Oxygen (mg/L):
3. Wastewater Temperature (F° or C°):
4. Raw Wastewater (Influent) Values (mg/L – monthly average):

BOD: Total Suspended Solids (TSS): COD:

FOG: Total Kjeldahl Nitrogen: pH:
Ammonia Nitrogen (NH3-N): Nitrate (NO3): Total Phosphorus:
Organic compound(s) to be biotreated: specify type(s) and influent concentration(s):
5. Effluent Values (mg/L – monthly average):

BOD: Total Suspended Solids (TSS): COD:

FOG: Total Kjeldahl Nitrogen: pH:
Ammonia Nitrogen (NH3-N): Nitrate (NO3): Total Phosphorus:
Organic compound(s) / waste to be biotreated: specify type(s) and current effluent concentration(s):

6. Discharge Permit Limits: BOD: TSS:

Others:
7. How is effluent disposed of?
8. Will effluent be reused?
9. Yearly Sludge Production (specify units – tons, kg, m3): Wet Basis: Dry Basis:

Desired Benefits from Biotreatment Program (check most desired benefits):

Reduce organic compound(s)
Specify types and target concentration(s):
Reduce sludge production Reduce grease build-up Reduce Odors
Improve effluent quality: BOD COD TSS FOG NH3
Other (specify):

NOTE: In a separate document, draw brief plant schematic with gallon capacities of components (Aeration Basins, SBR, Trickling
Filters, Lagoons, etc.) Indicate flow patterns and major unit operations.

Proposal #: ______________ Page 1 of 1

UTI Facility Data Sheet.doc
Job #: ______________