Ecologix MBBR Request Form Company Name*First Name*Last Name* Street Address City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Email* PhoneProject locationcity, state of your expected project site.What type of biofilm process is requiredMBBRIFASWastewater Parameters ParameterInfluentEffluent (Required Quality) Flow Rate - m3/dInfluentEffluentWastewater design temperature - °CInfluentEffluentpHInfluentEffluentBOD5 - mg/lInfluentEffluentCOD - mg/l InfluentEffluentTSS - mg/lInfluentEffluentNH4-n (Total Ammonium N) - mg/l InfluentEffluentTKN (Total Kjeldahl N) - mg/l InfluentEffluentTN (Total N) - mg/l InfluentEffluentFats, oils, and grease (FOG) InfluentEffluentIndustry TypeType of WastewaterIndustrialMunicipalIs there an existing pre-treatment stage / foreseen?YesNoType of Pre-TreatmentThe influent parameters above refer toThe raw wastewater (i.e. upstream of any pre-treatment stage)The pre-treated wastewater or influent delivered direct to the MBBRWater level which is foreseen / required / existing in the tankPreferred Tank ShapeCircularRectangularSite elevation, if knownIs there any space limitation on site? If yes, please explain belowWhat are the most crucial considerations for this project? Small FootprintImportantModerately ImportantNot ImportantLow Investment CostsImportantModerately ImportantNot ImportantLow Operational CostsImportantModerately ImportantNot ImportantAdditional Notes about your Project