Water Treatment Questionnaire

Industry type*

Production Capacity*

Basic Process*

Product*

Operation Hours*

	Incoming feed water to treat and process			Desired freshwater output from treatment process and expected use?
	Avg	Min	Max	Avg	Min	Max
Flow* (h/day)
(days/wk)
(m³/h)
Temperature(°C)*
Density*(kg/m³)
pH*
Total Dissolved Solids (TDS)*(mg/l)
Primary dissolved salt*(mg/l)
Secondary dissolved salt*(mg/l)
Other dissolved salts*(mg/l)
Total Organic Carbon (TOC)*(mg/l)
Kjeldahl-nitrogen (N-kj)*(mg/l)
Volatile Organic Compounds (VOC)*(mg/l)
Flammable compounds*
Explosive Compounds*
Toxic Compounds*
Extra notes on the effluent: Attached are analyses from the

Required information and if available, please include a analysis report on the feed water composition.

What is the primary/secondary/ other dissolved salts ,please specify*

Are there solids present, please specify*

Does the effluent have foaming properties? If anti-foam agents are used, please specify*

Does the effluent have a fixed composition throughout the year?*

Is steam or waste-heat available?*

What kind of electric power is available?*

Is there a desired concentration factor for the effluent?*

What processes are active in the factory?*

Does the produced Brine / Condensate have a purpose?*

Is there a lay-out drawing available of the site?*

Are there secondary requirements for the treatment plant? (e.g.: concerning odor or noise)?*

What is the main reason for treatment?*

Is there an existing wastewater treatment plant? If yes, what type/capacity?*

Project ID:		DATA SAMPLE 1	DATA SAMPLE 2	DATA SAMPLE 3	DATA SAMPLE 4
ID #:*
Sample Description:*
Sample Date:*
Anions
P Alkalinity (mg/L as CaCO3)*
M Alkalinity (mg/L as CaCO3)*
Chloride (mg/L as Cl-)*
Bromide (mg/L as Br-)*
Sulfate (mg/L as SO42-)*
Cations
Arsenic (mg/L as As5+)*
Sodium (mg/L as Na+)*
Potassium (mg/L as K+)*
Calcium (mg/L as Ca2+)*
Magnesium (mg/L as Mg2+)*
Barium (mg/L as Ba2+)*
Strontium (mg/L as Sr2+)*
Iron, Ferrous (mg/L as Fe2+)*
Iron, Total (mg/L as Fe)*
Boron (mg/L as B3+)*
Miscellaneous pH
Conductivity (μmhos/cm)*
Calculated Osmotic Strength (mOsm/Kg)*
Ammonia Nitrogen (mg/L as NH3 - N)*
Calc. Total Hardness (mg/L as CaCO3)*
Total Suspended Solids (mg/L)*
Calc. TDS (mg/L)*
Measured TDS (mg/L)*
Specific Gravity*
Total ATP (rlu) – Microbiological Content*
Microbiological Content*
Langelier Saturation Index (LSI)*
Langelier Potential*