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Company Needs Survey


Please fill out this form and submit it to United-Tech, Inc. Technical Services. Alternately, you can download a pdf version (requires Acrobat Reader) and fax to us at (918) 610-5225.

NOTE: Required fields are marked with a *.

Facility Name: *

Contact Name: *

Email Address: *

Address Line 1: *

Address Line 2:

City: *

State/Province: *

Zip/Post: *

Country: *

Telephone: *

Fax:

Facility Type:

Plant Name:

How many levels in building?            

Number of plumbing calls per month:

Special Circumstances:

 


FORMULAS FOR DETERMINING GALLONS TO TREAT:

Formula for rectangular or square container:
(L x W x D = cubic feet x 7.4805 = gallons of capacity to treat.)
[Multiply length (m) x width (m) x average depth (m) = cubic meters]

Formula for round container:
(Diameter x diameter x average depth x 5.9 = gallons of capacity to treat)
Π r2 h1 = m3/ft3 (Π=3.14)(r = radius in m/ft) (h = height is m/ft)

 

BZT® WASTE DIGESTER

 

  Oil & Grease buildup on floor

 

How Many:

Domestic/Commercial:

 

Size (Diameter or Length Width & Depth):

See formulas above to determine gallons to treat

 

Additional Information


  Trench Drains (Mfg. area)

 

How Many:

Domestic/Commercial:

 

Size (Diameter or Length Width & Depth):

See formulas above to determine gallons to treat

 

Additional Information


  Waste Lagoons

 

How Many:

Domestic/Commercial:

 

Size (Diameter or Length Width & Depth):

See formulas above to determine gallons to treat

 

Additional Information


  Grease Trap

 

How Many:

Domestic/Commercial:

 

Size (Diameter or Length Width & Depth):

See formulas above to determine gallons to treat

 

Additional Information


  Floor Drains

 

How Many:

Domestic/Commercial:

 

Size (Diameter or Length Width & Depth):

See formulas above to determine gallons to treat

 

Additional Information


  Septic Tanks

 

How Many:

Domestic/Commercial:

 

Size (Diameter or Length Width & Depth):

See formulas above to determine gallons to treat

 

Additional Information


  Organic Waste Disposal Tanks

 

How Many:

Domestic/Commercial:

 

Size (Diameter or Length Width & Depth):

See formulas above to determine gallons to treat

 

Additional Information

      Type Fluid: Beyond Limits?

      NOTE: You may be aked to provide a flow diagram. We will advise.


  Garbage Disposal

 

How Many:

Domestic/Commercial:

 

Size (Diameter or Length Width & Depth):

See formulas above to determine gallons to treat

 

Additional Information


  Sink Drains

 

How Many:

Domestic/Commercial:

 

Size (Diameter or Length Width & Depth):

See formulas above to determine gallons to treat

 

Additional Information


  Bathrooms

 

How Many:

Domestic/Commercial:

 

Size (Diameter or Length Width & Depth):

See formulas above to determine gallons to treat

 

Additional Information


  Urinals

 

How Many:

Domestic/Commercial:

 

Size (Diameter or Length Width & Depth):

See formulas above to determine gallons to treat

 

Additional Information


  Toilets

 

How Many:

Domestic/Commercial:

 

Size (Diameter or Length Width & Depth):

See formulas above to determine gallons to treat

 

Additional Information

 

OBT™ OIL DEGRADATION TREATMENT

 

  Do you use Machine Coolants?

 

How Many:

Coolant Type:

 

Size (Diameter or Length Width & Depth):

See formulas above to determine gallons to treat

 

Brand


  Waste Oil Tanks

 

How Many:

Coolant Type:

 

Size (Diameter or Length Width & Depth):

See formulas above to determine gallons to treat

 

Are you being charged for disposal?

Approximate monthly cost:

Approximate annual cost:


  Sludge Tanks

 

How Many:

Coolant Type:

 

Size (Diameter or Length Width & Depth):

See formulas above to determine gallons to treat

 

Are you being charged for disposal?

Approximate monthly cost:

Approximate annual cost:


  Other Storage Tanks

 

How Many:

Coolant Type:

 

Size (Diameter or Length Width & Depth):

See formulas above to determine gallons to treat

 

Are you being charged for disposal?

Contents:

 

BZT® AQUACULTURE

 

  Cooling Towers

 

How Many:

Type:

 

Volume:

Flow Rate:

Explain:


  Algae Problems?

Explain:


Lakes
Ponds
Aquariums
Decorative Fountains

(See BZT® Aquaculture Project Checklist
AFTER submitting this form)

 

Please note: We do not share your information with any third parties. Read our Privacy Policy here

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