Dober Water Treatment: Treatability Request
Date
of request
Customer
full name
Customer Address
Contact Name
full name
Contact Email
Contact Phone
Are you a new customer?
select one
Select One
Yes
No
If no, what product are you using?
Dober Contact
select one
Select One
Mary_Bishop
Eric_Bradley
Rich_Dobrez
John_Meland
Tony_Weisner
Type of Wastewater
Sample Name
What needs to be tested?
please list or attach discharge limits
What is the current treatment method?
What treatments have been attempted?
Special instructions
including suggestions on products to start with
submit
Wastewater Sample Request
Type of wastewater:
What needs to be tested:
What is the current treatment method:
What treatments have been attempted:
Special instuctions:
Attachments
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