Free Site Evaluation

In the Soil and Groundwater Site Evaluation form, you are asked to provide details about your impacted site(s), including remediation objectives and timing, contaminant information, treatment area data and geochemical information. This form will be directed to the PeroxyChem soil and groundwater team to help them familiarize themselves with your site and determine which PeroxyChem products and technologies will best suit your site conditions, objectives and timelines.

Please carefully complete all fields you are able to on the following form. If you would rather complete a paper form, you may download a PDF version here in Englishin Portuguese, in Italian or in French.

CONTACT INFORMATION



Address





SITE DETAILS

Treatment area(s) will include:


Is NAPL present or suspected:
Site Description:

e.g. - pilot/full scale, historical use, buildings, source of contanimation, current remediation activities etc.

Cleanup Objectives and Timing
Which PeroxyChem Environmental Solutions products are you interested in evaluating for your site?

In Situ Chemical Oxidation



Aerobic Bioremediation



Enhanced Reductive Dechlorination
In Situ Chemical Reduction




Metals Treatment


NAPL Stabilization / Mass Flux Reduction

What other remediation technologies are being considered?

TREATMENT AREA "A" INFORMATION

Please complete in as much detail as your are able.


Treatment area dimensions




Soil Data



Transport Characteristics



Contaminant Information
Contaminant
Average Conc. in GW (mg/L)
Remediation Goal in GW (mg/L)
Average Con. in Soil (mg/kg)
Remediation Goal in Soil (mg/kg)









GEOCHEMICAL INFORMATION

Please provide as much information as possible. If unknown, please leave blank.


 

mV

S/m

mg/L


Klozur® Persulfate Parameters
g/kg

g 25% NaOH/kg soil

PermeOx® Ultra Parameters

Enter mg/L values for ground water & mg/kg for soil.



ISCR Parameters
mg/L
mg/L

mg/L
mg/L

mg/L

Add Another Treatment Area

TREATMENT AREA "B" INFORMATION

Please complete, if a second treatment area is relevant.


Treatment area dimensions




Soil Data



Transport Characteristics



Contaminant Information
Contaminant
Average Conc. in GW (mg/L)
Remediation Goal in GW (mg/L)
Average Conc. in Soil (mg/kg)
Remediation Goal in Soil (mg/kg)









GEOCHEMICAL INFORMATION

Please provide as much information as possible. If unknown, please leave blank.


 

mV

S/m

mg/L


Klozur® Persulfate Parameters
g/kg

g 25% NaOH/kg soil

PermeOx® Ultra Parameters

Enter mg/L values for ground water & mg/kg for soil.



ISCR Parameters
mg/L
mg/L

mg/L
mg/L

mg/L

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