MBBR/IFAS INQUIRY SHEET

To request an evaluation, please complete this form with all relevant information and submit via phone, fax, or email to the attention of Headworks Process Quotes:

TELEPHONE1.713.647.6667

FAX1.713.647.0999

EMAILquotes@headworksintl.com

Project Name (if available):

Company Name:

Industry Category / Application Description:

Contact Name:

Headworks Representative (if applicable):

Design Engineer/Consultant (if applicable):

Tel:

City:

State:

Email:

Country:

Existing System (describe if applicable):

System required (check one):

MBBRIFASAnaerobic MBBR

Objective (check one):

BOD ReductionNitrificationTotal Nitrogen Removal

Wastewater Characterization Profile / Design Parameters

Parameter	Minimum	Maximum	Average	Effluent Discharge Limit
Flow (gpd or m³/day)
Temp °(degrees)
BOD (mg/L)
sBOD (mg/L)
COD (mg/L)
TSS (mg/L)
FOG (mg/L)
TKN (mg/L)
TN (mg/L)
Ammonia-N (mg/L)
Phosphorus (mg/L)
Alkalinity (mg/L)
TDS (mg/L)
pH (S.U.)

Existing Treatment System (if applicable)

Unit	Type	Quantity	Volume / Capacity	Dimensions
Aeration basin
Clarifier
Aeration

Additional Information:

Target Operational Date:

Discharge To:

Regulatory Agency: