Aeration and Mixing Design Request Form

AERATION & MIXING PRODUCTS DESIGN REQUEST FORM

The accuracy and timeliness of design information provided is dependent on the information included in your request. Please furnish complete and accurate information whenever possible.
Date Required

MonthDayYear
Full Name

First NameLast Name
Company Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail
Project Name
Location
Elevation of Site

Rows Feet Meters

enter data
Existing Aqua-Aerobic Installation
Install Date

MonthDayYear
System Description
Description
*If industrial influent, from what industry?
Information Request
Requested Information
*Other
General Information on Basin
Choose Basin Type

Rows New Construction Existing Basin(s)*

Type

Rows	Feet	Meters
enter data

Rows	New Construction	Existing Basin(s)*
Type

Choose Basin Type

Rows	Circular	Rectangular	Square	Sloped**	Other***
Type

Rows	Feet	Meters
Measurements in (select one)

Rows	QTY	Dimension Length	Dimension Width	Volume	Min Side Water Depth	Max Side Water Depth	Freeboard
enter data

For Existing Equipment (Aeration)

Rows	Quantity	HP
Fine Bubble Diffusers
Coarse Bubble Diffusers
High Speed Surface Floating Aerators
Low Speed Surface Aerators
Brush/Disc Rotors
Directional Aspirators
Submersible Aerators
Other

For Existing Equipment (Mixing)

Rows	Quantity	HP
Submersible Mixers
High Speed Surface Floating Mixers
Slow Speed Mixers
Directional Floating Mixers
Other (indicated above)

Rows	MGD	m3/d
Max Month Avg Daily

Rows	MGD	m3/d
Maximum Daily (MDF)

Rows	MGD	m3/d
Peak Hourly (PHF)

Rows	hrs/day	day/wk
enter data

MG/L

Rows	Influent	Effluent
Summer Water Temp (C)
Winter Water Temp (C)

** TKN and NH3-N removal requires nitrification only
Choose Equipment & Mooring Options

Which Aeration & Mixing products are you interested in?
Float Construction (if Aqua-Jet®, AquaDDM®, or OxyMix®)
Mooring (Provide basin details and water levels)
*Cable Mooring
Measurement of Cable Mooring

Rows Feet Meters

Measurements in
(select one)
*Cable Mooring - If it is known how much cabling is required

Rows Amount

Total Cable Required
Hertz
Voltage
Biological Process Requirements: Fill in only the process pertaining to your basin application below.
Equalization Design
Check one

Rows	Feet	Meters
Measurements in (select one)

Rows	Amount
Total Cable Required

Rows	Influent D.O. mg/L	Required Effluent D.O. mg/L
*For Post-EQ

Secondary Treatment
Choose Objective
*Other
Digester/Sludge Holding Basin
Solids Content of Basin
Cooling & Evaporation
For Cooling and Evaporation Basins, please provide site specific address for collecting weather data:
Site Address

Rows	0 lb/day	O kg/day
*COD Removal

Diffused Aeration

Rows	Number of Blowers	HP/Blowers NPHP	Airflow Rate SCFM	Airflow Rate m3/sec

Mixers

Rows Number of Mixers HP/Mixer NPHP
Algae Control Objective

*Please fill out "General Information on Basin" section listed above.
Check box if applicable
Additional Information
Enter Information
Should be Empty:

AERATION & MIXING PRODUCTS DESIGN REQUEST FORM