Fresh/Waste Water Treatment Facility Project Calculation Form

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Date Needed By:	*
Name:	*
Company:	*
Title:	*
E-mail:	*
Address 1:	*
Address 2:	*
City:	*
State/Province:	Please Select...--- USA ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLousianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWisconsinWest VirginiaWyoming--- CANADA ---AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundlandNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon*
Zip/Postal Code:	*
Country:	*
Phone:	*
Fax:	*

Project Details
Job/Project Name	*
Location of Job - City	*
State	* Country: *

Room/Building Information
Type of Project	Fresh Water Waste Water Pipe Gallery Pump Room
Room Dimensions	Length: * Width: * Height: * Volume: *
Room Location	Above Ground Below Ground
Walls - Outside Facing	Number: * Length: *
Conditioned Space Surrounding	Walls: Yes No Ceiling: Yes No
Frame	No Vapor Barrier Vapor Barrier Present
Masonry	No Vapor Barrier Vapor Barrier Present
Sheet Metal	No Vapor Barrier Vapor Barrier Present
Additional Information	*

Room/Building Information (continued)
Source of Water	Well Water Lake or River Water
Lowest Surface Temp. of Pipes, Tanks or Other Surfaces	* F
Total Surface Area of Open Water Tanks	* Sq/ft
Lowest Temperature of Room	* F
Is There a Room Heating Source Available?	Yes No
Standing Water on Floors	Yes No
Outdoor Make Up Air	Yes * CFM No
Sensible Internal BTU Load in Room	HP: * BTU's * Watts *
Is Class #1 Division #2 Construction Needed	Yes No Don't Know
Comments, Questions, Suggestions, Special Considerations:
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