CLARI-SEP®
APPLICATION DATA SHEET

Company/Organization:

Date:

Address:

Contact(s):

Address:

Customer Project#:

State/Province:

Sales Rep Code:

Country:

Phone:

Mail/Postal/Zip Code:

eMail:

Application Check Appropriate Category
  • Corporate Vehicle Wash Facility
  • Self Serve Vehicle Carwash
  • Automated Vehicle Carwash
  • Drawing
  • Heavy Equip. Washdown
  • Oil Field Equipment Washdown
  • Railroad Equipment Washdown
  • Engine Repair Washdown
  • Large Vehicle Washdown
  • Recreational Boat Washdown
Project Requests Enter Objectives - Expectations:

Customer Requests
 Check
if Needed
Date RequiredDescription:
Budget Estimate
Final Design Proposal
Technical Presentation
Technical Information

Technical Information Requests
 Quantity NeededDate Required Description:
Dimensional Dwgs.
Flow Diagrams
Spare parts list
I.O.M. Manual

Application Description
Feed type Oil/Grease
Process Volume Flow Suspended Solids
Temerature (normal) Total Solids
High/Low BOD
pH Range COD
Solvents Other

Discharge Guidelines/Targets
Oil and Grease TS
BOD Color
COD Ph Range
Other(Specify) Other(Specify)
Is future treatment required?

Additional System Information
Batch Process Level of Automation
Continuous Operation External Alarms
Voltage Explosion Proof
Level Control Other:
Other Details
Current Treatment
Disposal Costs (Current)
Other: