ADVANCED TREATMENT SYSTEMS, INC.
Milwaukie, Oregon 97222
U.S.A.
Main Phone: 503-654-3061 Seattle: 206-325-8434
FAX:
504-652-8584 Email:
jim@atswastewater.com
PRELIMINARY SIZING
QUESTIONNAIRE
“HOSPITAL
WASTEWATER APPLICATION”
1.
Describe the type of hospital or clinic, such as in-city
facility or in-village (rural clinic).
A. Site elevation above sea level
(meters).
B. Ambient temperature: Summer C. Winter C.
2.
Total number of patient beds in hospital: .
3.
Average number of patient beds filled per day: . (Average/Year)
4.
Is hospital connected to municipal (city-wide), fresh
water supply or does hospital have its own separate water source? If separate water source, is separate source
ground well water? Please describe.
.
A. Cubic
meters of fresh water used/24-hour day: .
B.
Estimated daily sewage flow (M3/day): .
5.
Total number of hospital employees per work shift/day. .
6.
Number of work shifts per 24-hour day? .
7.
Are hospital employees provided cafeteria meals at hospital? .
8.
Number of meals hospital serves per 24-hour day:
A. Patient
meals: .
B. Staff
(employee meals):
.
9.
Does all food waste not eaten at hospital go to the
sewer?
A. Yes. B. No.
Please describe what happens to food wastes:
.
10. Does hospital have its own laundry? Yes.
No.
11. Hours of operation for hospital
laundry? 24-hours. Describe if
other
than a 24-hour operation.
.
12. Estimate cubic meters of laundry flow per
day? .
13. Type and amount of
laundry detergent used each day (describe):
.
14. Is a bleaching
agent used at laundry? If so, please
describe how much bleach is utilized each day.
(Again, question only relevant if laundry located at hospital).
.
15. Is hospital State-owned enterprise? Yes. No.
16. If State-owned facility, is hospital
operated by private agency? Yes/No.
17. Name and address of
district sewer office overseeing hospital regulations.
.
18. Briefly describe
hospital building, such as age, number of floors, etc.
.
19. Please provide an accurate description of
the amount of land space available to construct wastewater treatment facilities. A sketch or site plan drawing showing the
entire
property as well as the hospital would
work best. An autocad drawing, if available, can be
emailed to our office at email address
shown below.
20. Is there room on the property so that all of
the wastewater facilities could be constructed
below ground?
.
21. Describe any unique
time interval during a 24-hour day during which a large percentage of daily
flow occurs and estimated time duration that flow rate is sustained.
.
22. Please place any
known treated effluent concentrations in applicable boxes below. These
target limits are extremely important
and will be used by ATS to design the wastewater
treatment system. They also will
establish the cost of the overall treatment facility
A. Biochemical Oxygen Demand (BOD): mg/l
B. Chemical Oxygen Demand (COD): mg/l
C. Suspended solids (TSS): mg/l
D. Carbonaceous BOD (CBOD): mg/l
E. Ammonia Nitrogen (NH3): mg/l
F. Orthophosphate (PO4): mg/l
G. Total Nitrogen: mg/l
H. Fecal Coliform levels: CFU /100 ml
I. Chlorine limitations: ppm
J.
pH limits: S.U.
K. Dissolved Oxygen: ppm
L. Grease (F.O.G): mg/l
M. Sulphates (SO4): mg/l
M. Metals Concentrations (mg/l):
Lead
Chrome
Mercury
Zinc
Arsenic
Other (please describe): .
23. Treated
Effluent Discharge:
Yes No
A. Reclaimed or reused?
B. Spray irrigation for golf course?
C. Discharge to open body of water?
D. Discharge to a municipal W.W.T.F?
E. If yes on "C" above describe
stream sensitivity limits:
.
Yes No
F. Subsurface discharge? (Drainfields,
tile fields, etc.)
Describe: .
G. Describe any other discharge or use
other than stated above:
.
24. Is treatment
facility (to be) located inside a building or outside exposed to weather
elements?:
A. Indoors: Describe: .
B. Outdoors: Describe: .
C. Summer precipitation amount (cm): .
D. Winter precipitation amount (cm): .
25. Describe
wastewater collection system bringing wastewater to the treatment plant:
A. Age of piping (months): .
B. Material construction of piping: .
C. Is collection system piping rain water
tight to prevent ground water infiltration?
Yes:
No:
If no, provide estimated volume per
day/season additional water entering the
piping.
.
D. Is new piping to be installed? Yes: .
No: .
26. Is sewage at
the site conveyed to the sewage plant location via onsite Pump Stations?
Yes: Expected Flow Rate (M3/Min):
No:
27. If answer to
Question 11 above is “No”, should ATS provide pump stations in its sewage
treatment plant proposal? A scale site plan or sketch is required. If
no sketch is available
then a detailed description of the site
and appreciable elevation changes are required.
28. Plant
Operations:
A. Owner of plant to operate?
B. Outside individual(s) to operate?
C. Manufacturer to provide
operator(s)?
D. Manufacturer to provide onsite operator
training?
Describe any other applicable operations
requirements:
.
29. Permits:
(Please check if applicable)
A. Existing and current:
B. New permits required:
C. No permits required:
D. ATS to assist in obtaining permit?
E. If new permits are required, estimated
amount of time before permits are issued:
Days.
Name of Agency: .
30. Construction
dequirements:
A. Local onsite
(skilled) labor to be utilized? .
B. Date desired for
STP construction: .
C.
Describe electrical power available at site:
.
31. Is concrete available at site: Yes
or No
32. Is any other foundation support available:
.
33. Name of project (hospital):
.
34. Is construction funding available: . (Yes or No)
35. Method of payment for W.W.T.F. equipment:
.
36.
Is a 10 – 15 year bank loan desired and, if so, should
manufacturer provide banking as
part of its proposal?
Yes:
. No: .
37. Name and address of person filling out
questionnaire:
Name:
District:
City:
Street & Postal Code: .
38. Your Communications:
A. Phone number:
B. Fax number:
C. E-Mail address:
39. IMPORTANT NOTES
(if any):
.
.
.
.
40. Advanced Treatment Systems, Inc. (ATS) can provide a
written technical specification for each process component or the entire
treatment facility as a whole. Please check below for the component you desire
to have a written specification for.
A.
Sewage Cutter Pump
Station _____
B. Shredding Comminutor _____
C.
Particle Fine Screen
_____
D.
Flow Splitter Box _____
E.
Biological Reactors
_____
F.
Submersible
Aerator/Mixers _____
G.
Floating Decanter System
_____
H.
Liquid Chlorination
System _____
I.
Fine Particle Filtration
System _____
J.
Ultra-Violet Light
Sterilization Unit _____
K.
Sludge De-watering System
_____
L.
Sludge Incineration Unit
_____
ADVANCED TREATMENT
SYSTEMS, INC.
10600 S.E. McLoughlin Boulevard
Milwaukie, Oregon 97222 U.S.A.
Phone: 503-654-3061 - Seattle: 206-325-8434
Fax Number: 503-652-8584