HELI-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
  • Bilge Water Treatment
  • Oil Production Waste
  • Plant Rainwater Runoff
  • Machine Coolant Recovery
  • POTW Pre-treatment
  • Ground Remediation
  • Food Processing
  • Tank Farm Spill Recovery
  • Other(specify)
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
Other(specify)

Application Description
Feed Source Oil/Grease%
Wastewater Flow Types of Oil
Temerature (normal) Types of Grease
High/Low % Solids
pH Range Type of solids
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
Level Control Other:
Other Details
Current Treatment
Disposal Costs (Current)
Other: