Project Data Form

Cromaglass: Wastewater Treatment Systems

If you need a system please fill out this form. Not all information is required, but we appreciate all the information you can provide. This information will not be published or shared.

Attn:

Your Name:

Your Email:
Date:
Date Required:
Project name:
Location:
Altitude (ft):

Project Description:

Application is :
Immediate 3-6 Months 6-12 Months Over 1 Year

Engineering Firm :

Engineer's Name :

Address:

Telephone/Fax:

Email:

Customer Information :

Telephone/Fax:

Email:

WASTEWATER CHARACTERISTICS

Average Design Flow(GPD/GPH):	/
Peak Design Flow Rate(GPD/GPH):	/
Temperature (Average/Max./Min.)	/ /

INFLUENT

EFFLUENT

Average

Range

Permit Limit

B.O.D.₅ mg/L

mg/L

C.O.D. mg/L

mg/L

T.S.S. mg/L

mg/L

TKN mg/L

mg/L

Ammonia mg/L

mg/L

Total Nitrogen:

mg/L

Phosphorous mg/L

mg/L

D.O.	mg/L
Other
pH	S.U.
Other

Filtration Required?
Disinfection Required?
Major Chemicals Used/Dosage?
Type of Discharge?
Elevation of Discharge TDH	Above *Cromaglass System*
	Below *Cromaglass System*

Power Supplied :

Voltage:
Phase:
Hz:

Comments:

Cromaglass Corporation
P.O. Box 3215
2902 N. Reach Rd.
Williamsport, PA 17701

Telephone: (570) 326-3396
FAX: (570) 326-6426
E-Mail: mailinfo@cromaglass.com