LAGOON INFORMATION FORM

PLEASE PROVIDE ANSWERS TO ALL OF THE QUESTIONS IF AT ALL POSSIBLE

CITY OR AGENCY

ADDRESS   STATE ZIP

NAME E-MAIL

PHONE EXT# FAX

LENGTH WIDTH TOTAL WATER/SLUDGE DEPTH

ESTIMATE OF BOTTOM SEDIMENT IN FEET BOTTOM SOLIDS PERCENTAGE

YEAR LAGOON WAS BUILT YEAR LAST CLEANED   LAGOON MIXING

LAGOON CONSTRUCTION SUMP OR PUMP OUT BASIN

TRUCK ACCESS TO DIKES   DIKE CONSTRUCTION

AVAILABLE AMPS FROM 3 PHASE 460/480 VOLTS 2nd BREAKER AMPS

(IF YOU ARE UNSURE ASK YOUR ELECTRICIAN OR CALL US....THIS IS IMPORTANT)

TYPE OF WATER SUPPLY PSI DISTANCE FROM LAGOON

IS MATERIAL TO BE DE-WATERED ?   IF SO TO WHAT PERCENT SOLIDS 

IF MATERIAL IS TO BE PUMPED ON SITE HOW FAR 

DISTANCE MATERIAL IS TO BE REMOVED OFF SITE   HAULER  

TYPE OF DISPOSAL SITE

AVAILABLE LIFTING EQUIPMENT ON SITE ?  WHAT KIND

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DIGESTER CLEANING  SCREENING   DREDGING   DISPOSAL   LAND APPLICATION   POND CLEANING   DEWATERING  DRYING SERVICE 

       

Copyright 2001 [North American Digester Cleaning Services]. All rights reserved.
Revised: 03/23/07.