Dairy Livestock Waste
EVALUATION FORM(SBR)

Contact Information
Date:
Facility Name:
Contact Name:
Address:
Street:
City, State: ,
Country:
Zip Code:
Email Address:
Phone Number:
Fax Number:
1. Type of Construction:
Existing Proposed New Expansion
2. Type of Waste Management System:
Open Lot Confinement Combination
3. Herd Capacity:
head of Lactating Cows @ pounds (Kg)Avg
head of Dry Cows @ pounds (Kg)Avg
Other:
4. Waste Collection Information:
Provide a detailed sketch and description of existing or proposed collection and storage system. Include information on type of collection and transfer of waste eg. scrape system, flush system etc.

Fax: 308-389-3500, or send as an attachment to sbeck@globalwastewater.com


If using flush system, provide volume of:
flush water and cycles per day

Is rainwater allowed to enter the collection system?
Yes
No

In the space below, please include any specific information.
5. Bedding Material Used:
Bedding Material Used:
6. Treatment Desired (check all that apply)
No, Storage Only Days required
Yes
Facilities Contributing to waste stream:
Milk House
Milk Parlow
Holding Area
Other:
(provide information on limits or % reduction required)
7. Type or level of Treatment
Solid Separation
Odor Control
Nutrient Removal
Nitrogen Reduction
Phosphorus Reduction
Other:
(provide information on limits or % reduction required)
Treatment for Reuse or Discharge
Provide information on limits for BOD, COD, TSS, TN., P, fecal etc.
8. Post Treatment Storage Required:
No
Yes Days Required
9. Information Request :
Please send me a product brochure.
Have a representative contact me.
10. Additional Information
Please provide any additional information that may impact or aid in the design of the System. (site plans, elevations, photos, volumes of wastes currently generated.)


Fax: 308-389-3500, or send as an attachment to sbeck@globalwastewater.com
To complete the form click "Submit!"