MODULE 3: RA 9275
Water Pollution Data
Domestic wastewater (cubic 0 | Process wastewater (cubic 0
meters/day) : meters/day) :
Cooling water (cubic meters/day) 0 | Others : N/A
:
Wash water, equipment (cubic 0 | Wash water, floor (cubic 0
meters/day) : meters/day) :
Record Cost of Treatment
Month 1 Month 2 Month 3
Person employed, (# of 0 0 0
employess)
Person employed, (cost) 0 0 0
Cost of Chemicals used by WTP 0 0 0
Utility Costs of WTP(electricity & 0 0 0
water)
Administrative and Overhead 0 0 0
Costs
Cost of operating in-house 0 0 0
laboratory
New/Additional investment in 0 0 0
WTP (description)
Costs of New/Add Investments 0 0 0
WTP Discharge Location
Outlet Number Location of the Outlet Name of Receiving water body
1 N/A N/A
Detailed Report of Wastewater Characteristics for Conventional Pollutants
Outlet No. DATE Effluent Flow BOD (mg/L) TSS (mg/L) Color Ph Oil & Grease Temp Rise Unit
Rate (mg/L) (C)
(m3/day)
N/A 2000-01-01
Detailed Report of Wastewater Characteristics for Other Pollutants
Outlet No. DATE Effluent Flow
Rate
(m3/day)
/ / / / / / /
N/A 2000-01-01
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