Company Name
Person to be contacted
Address
Phone number
Email
Kind of Liquid
Treatment purpose Water recovery Concentrate recovery Both water and concentrate recovery Discharge
Other substances to be recovered
Support informations
Amount to be treated Liters per day: Annual working days:
Chemical analysis available? YES NO Please attach file
Main chemical characteristic (Please indicate principal such as: pH, COD etc.)
Actual waste destination Disposal Please indicate disposal costs €/l Treatment Indicate typology
ELECTRICAL €/KW Voltage
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