Square D Waste Water Registration

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Schneider Electric Water or Wastewater Facility Energy Audit

Facility Name:
Facility Address:
City:
State:
Zip Code:
Phone:
Fax:
Contact:
Title:
Email:
Has your facility had an energy audit performed within the past 5 years?	Yes No
What is the approximate age of your facility?	< 10 Years 10 to 25 years 25 to 50 years 50 to 75 years
What is your MGD?
What is the total connected horsepower to your facility?
What is the total voltage on the incoming service at your facility?
What is the facility's total estimated annual energy cost?
Who is your electric utility provider?
Would you be willing to provide the last 12 months of your utility bills for review?
Does your facility have critical energy needs?
Are you planning to apply for an Energy Star rating for your facility?	Yes No
Implementation of Energy Management strategy in last three years (check all that apply):	Develop an energy management program Implement preventative maintenance plans Perform internal energy audits Technology upgrades to plant equipment Upgrade distributed systems (heating, cooling, lighting) Upgrade control and automation systems Implement preventative maintenance plans Work with the energy service company to finance energy-efficient equipment Other: please specify Upgrades to: pumps blowers / aeration conveyance motors filtration others
Technologies Used (check all that apply):	Lagoon Oxidation Ditch Moving diffuser Aeration Surface Aeration Pure Oxygen Diffused Air Basin BioFilter UV/Ozone Class A Sludge Process Clarification Flocculation Sedimentation Filtration Membrane/RO SBR Nutrient Removal WAS Reduction technologies
Please add any other other pertinent information that will help: