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 SLUDGE ORIGINATION  GALLONS CUBIC YARDS

IS THERE A CERTAIN AMOUNT TO BE PROCESSED EACH DAY? Yes No

IF SO WHAT QUANTITY Gallons Cubic Yards

PRESENT SLUDGE SOLIDS PERCENTAGE SOLIDS DESIRED

AVAILABLE AMPS FROM 3 PHASE 460/480 VOLTS 2nd BREAKER AMPS

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 WATER SUPPLY FROM PSI DISTANCE FROM WORK AREA

DISTANCE MATERIAL IS TO BE REMOVED OFF SITE   HAULER   Agencies Contractors None

TYPE OF DISPOSAL SITE

AVAILABLE LIFTING EQUIPMENT ON SITE ?  Yes No WHAT KIND

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Revised: 03/23/07