This questionnaire is designed to gather all the information necessary for Brac Systems to correctly recommend a Commercial Greywater Recycling System for a specific application. It will ensure that the recommended system will provide for the maximum potential capture and storage capacity, resulting in the most cost-effective solution. Please complete this questionnaire. If you do not have a definite answer to any of the questions, please feel free to make a conservative educated guess and indicate it as such.

Profile:

Company Name:		Sales Rep:
Address:		Email:
City:		Phone No:
State/Province:		Fax:
Zip/Postal Code:		Project Name:
Country:		Project Location:

General Buildling Information:

Building type: Office Residential building Hotel Other:

Number of floors:

Number of apartments:

or rooms:

Area of building footprint: ft.2

or m2

Number of people occupying the building:

Potable water source: Public Private

Sewage disposal system: Public Private

Power Availability:

120/60Hz 220/50Hz 1 Phase Domestic Voltage (eg : 110 or 220, 50 or 60 Hz) 230/1 Ph 280/3 Ph 460/3 Ph 3 Phase Commercial Voltage (eg : 230/280/460, 50/60 Hz)

Greywater Supply Information:

Source of greywater:

Showers

Bathtubs

Lavatories

Laundries

AC/Drains

If laundry is included, how many commercial washing machines?     Make: Model:

Is rainwater harvesting planned? Yes No       If yes, Area of roof: ft.² or m²

Any fixtures supplying greywater that are on the same level as the Brac System?

           Yes No       If yes, how many and what type:

Greywater Usage Information:

Planned use for greywater: Toilet flushing Irrigation

Total number of toilets:

Number of toilets per floor: **Use the spacebelow to specify further

Type of toilets: Tank type Flush valve

If irrigation is planned, what is the area of the green space to be watered? ft.² or m²

Additional Comments / Useful Information:



E-Mail Address :

Captcha Verification Code :