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OPEC SITE QUESTIONNAIRE (SKIMMER) Following is a general application questionnaire. The questions below may or may not apply to your specific application. Please supply information as completely and accurately as possible. If available, please include any additional information not covered in our questionnaire. 1- CUSTOMER INFORMATION 2- APPLICATION INFORMATION WHAT CONTAMINANTS ARE TARGETED FOR REMOVAL? Company Name: Industry: Street: City: Phone: Postcode: Email Address: Contact: Date: Describe the Application: Oils FOG's Scum Others AREA TO BE SKIMMED IS: Tank Lagoon Intercepter Other Please State: Please State: IS THE AREA TO BE SKIMMED ABOVE GROUND? Yes No WHAT IS THE WORKING LEVEL OF THE WATER FROM GROUND LEVEL? WHAT IS THE WORKING LEVEL FLUCTUATION? IS THE SURROUNDING AREA LEVEL? Yes No Please Describe: (eg concrete, gravel, grass etc)

SITE QUESTIONAIRE- SKIMMER_MASTER

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WHAT CONTAMINANTS ARE TARGETED FOR REMOVAL? AREA TO BE SKIMMED IS: Tank Lagoon Intercepter Other Oils FOG's Scum Others IS THE SURROUNDING AREA LEVEL? Yes No IS THE AREA TO BE SKIMMED ABOVE GROUND? Yes No WHAT IS THE WORKING LEVEL OF THE WATER FROM GROUND LEVEL? WHAT IS THE WORKING LEVEL FLUCTUATION? Please Describe: (eg concrete, gravel, grass etc) Submit by Email Describe the Application: Email Address: Please State: Please State:

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Page 1: SITE QUESTIONAIRE- SKIMMER_MASTER

OPEC SITE QUESTIONNAIRE (SKIMMER)

Following is a general application questionnaire. The questions below may or may not apply to yourspecific application. Please supply information as completely and accurately as possible. If available,please include any additional information not covered in our questionnaire.

1- CUSTOMER INFORMATION

2- APPLICATION INFORMATION

WHAT CONTAMINANTS ARE TARGETED FORREMOVAL?

Company Name: Industry:

Street: City:

Phone:Postcode:

Email Address:

Contact: Date:

Describe theApplication:

Oils FOG's Scum Others

AREA TO BE SKIMMED IS: Tank Lagoon Intercepter Other

Please State:

Please State:

IS THE AREA TO BE SKIMMED ABOVE GROUND? Yes No

WHAT IS THE WORKING LEVEL OF THE WATER FROM GROUND LEVEL?

WHAT IS THE WORKING LEVEL FLUCTUATION?

IS THE SURROUNDING AREA LEVEL? Yes No

Please Describe:(eg concrete,gravel, grass etc)

Page 2: SITE QUESTIONAIRE- SKIMMER_MASTER

3- TREATMENT DATA

ARE THERE CURRENTLY ANY CHEMICAL FLOCCULANTS/COAGULATANTS ETC USED WITHIN THEWASTEWATER?

4- LIQUID CARRIER CHARACTERISTICS

ARE THERE ANY CHEMICALS KNOWN TO BEPRESENT IN THE WASTE WATER?

DOES THE WATER HAVE ANY VOLATILE CONTENT?

5- SOLIDS

ARE THERE ANY SUSPENDED SOLIDSPRESENT?

Yes No If so please List:

Yes No Yes No

Please List: Please List:

Yes No

WHAT IS THE SPECIFIC GRAVITY OF THE SOLIDS?

WITHIN THE AREA TO BE SKIMMED ARE THERE ANY OBSTACLES? (PIPES, LEDGES, PUMPS ETC)

Please State:

AROUND THE AREA TO BE SKIMMED ARE THERE ANY OBSTACLES?( RAILING, LEDGES, PIPES, CABLES ETC)

Please State:

Does the oil collect in a particular area? State:

OIL AND GREASE6-

OIL IN THE WASTE STREAM

ARE THERE ANY OTHER FLOATING MATERIALS PRESENT?

Types: Appox. Quantities:

WHAT IS THE SPECIFIC GRAVITY OF THE OILS?

Yes No

IF SO PLEASE LIST:

Page 3: SITE QUESTIONAIRE- SKIMMER_MASTER

CLASS OF OIL: PLEASE SELECT

7- MATERIALS OF CONSTRUCTION

IS THE WASTEWATER COMPATIBLE WITH THE FOLLOWING MATERIALS?

DOES THE WASTEWATER HAVE AN AGGRESSIVE NATURE WHICH CAN ATTACK CERTAIN MATERIALS?

FREE OIL: OIL DROPLETS 150 MICRONS IN DIAMETER AND LARGER.

DISPERSED OIL: OIL DROPLETS 20-150 MICRONS IN DIAMETER.

MECHANICALLY EMULSIFIED OIL: OIL DROPLETS LESS THAN 20 MICRONS IN DIAMETER.

CHEMICALLY EMULSIFIED OIL: OIL DROPLETS LESS THAN 20 MICRONS IN DIAMETER WITH ACHEMICAL BOND TO OTHER MOLECULES.

STABLE EMULSION/DISSOLVED OIL: OIL IN SOLUTION W ITH ITS CARRIER (IE MACHINE CHEMICALBOND TO OTHER MOLECULES.

Yes No (IF SO PLEASE STATE)

CARBON STEEL STAINLESS STEEL FIBREGLASS

PVC POLYETHYLENE POLYPROPYLENE

DO YOU HAVE A PREFERED MATERIAL OF CONSTRUCTION?

8- EFFLUENT INFORMATION

9- POWER DATA

WHAT IS THE AREA CLASSIFICATION?

WHAT IS THE AVAILABLE POWER?

ELECTRICITY:

AIR:

GRAVITY FLOW TO DISCHARGE?: DISTANCE TO DISCHARGE POINT:

CLASS: GROUP:

ZONE: DIVISION:

ELECTRICITY AIR HYDRAULIC

VOLTAGE: AMPS: PHASES:

PRESSURE (STATE UNITS): FLOW (STATE UNITS):

WHERE IS THE RECOVERED OIL TO BE DISCHARGED TO?

Page 4: SITE QUESTIONAIRE- SKIMMER_MASTER

10-GENERAL INFORMATION

IS THE EQUIPMENT TO BE INSTALLED OUTDOORS? Yes No

PLEASEINCLUDE ANYADDITIONALINFORMATIONWHICH YOUFEEL MAY BERELEVANT:(PHOTOS,DRAWINGSANDSKETCHES IFPOSSIBLE)

Please return the completed forms to:[email protected]

opec ltd, 1 nab lane, batley, west yorkshire, WF179NG.(01924) 442701www.opec.co.uk