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CLEAR CREEK SYSTEMS, INC.
WATER TREATMENT INFORMATION DATA SHEET
Company Name: ____________________________________________________________________
Project Name: ______________________________Source of Water: _____________________
Contact: __________________________________Phone #: ______________________________
Operating Information ( It is important to list all known constituents in the water in order to maximize the effectiveness of the treatment system. If the presence of a material is in unknown, please indicate)
A. Duration of Project: ___________________________Hours per Day of Operation:____
B. How Soon Is Treatment Required: _______________________________________________
C. Total Gallons Per Day (GPD): ____________________High/Low GPM:_________________
D. Can The System Be Shut Down For Maintenance Once It Is Operating (Yes/No)?_____
E. Hydrocarbons Levels and Type*:_________________________________________________
F. Solid Levels*: TDS:__________TSS:____________Particulate Size Distribution:____
G. Organic Levels*: VOC:_______________________Chlorinated:_______________________
H. Metal Levels*:_________________________________________________________________
I. BOD*:_______________COD*:__________________________TOC*:_______________________
J. Other Materials*:______________________________________________________________
K. pH of Effluent:______________Max/Min Temp. of Effluent (F ):___________________
Performance Requirements
A. Discharge of Effluent: Sewage System _____ Storm Drain _____
Other ____________________________________________________________________________
B. Water Discharge Effluent Quality Requirements and/or Discharge Limits
Hydrocarbons*:____________________________________________________________________
Solids*:__________________________________________________________________________
Heavy Metals*:____________________________________________________________________
Organics*:________________________________________________________________________
Additional Project Operating Information**:_______________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
* For multiple constituents use extra sheets if necessary
** Please note any additional information attached such as existing effluent flow charts, laboratory reports, etc.
ccs\wtids
4101 Union Avenue Bakersfield, California 93305
Phone (661) 324-9634 FAX (661) 322-4206
