Hydrokleen "Request Form"

You're request for information will be processed as quickly as possible.  You are not required to fill out any particular field on this form.  If you can provide us with the best possible information we can respond more quickly to your needs.

Contact Details:

Name:

Title:

Company Name:

Type of Business:

Phone:

Address:

City:

State:

Postal Code:

Country:

Email:

How do you prefer to be contacted?:

How is your wastewater produced?

Is this a washing process?  If so what are you washing?

Do you use chemical cleaners (soaps, solvents, acid)?

Do you have high concentrations of any particular substance (oils/grease, heavy metals, solvents, BOD, COD, TSS, TDS, etc)?

Do you want to recycle or pre-treat the water for discharge to sanitary sewer?

Do you have a sewer connection of are you on a septic system with drain field?

Do you have an existing wash site or will one be built?

Will you require a Hydroblaster pressure washer system?

How soon will you be purchasing?

Any additional comments?

 

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