WASTE TO ENERGY

Customer Data Form

1General Customer Information

2Customer Waste Information

3Energy Information

General Customer Information

1. Enter customer name

2. Enter installation Location - Address City, State, Country

Customer Waste Information

3. Total Waste Volume (tons/year) (Should equal sum of #6-16)

4. Total Waste Disposal Expenditure/Costs (USD $/year)

5. Is a site plan of facility available? (if so please email)

6. Food Waste

Comments

7. Paper & Cardboard

Comments

8. Plastics

Comments

9. Wood

Comments

10. Other Organic 1 (non-food, garden waste, etc.)

*Please list/describe in comments

Comments

11. Other Organic 2 (non-food, garden waste, etc.)

*Please list/describe in comments

Comments

12. Other Organic 3 (non-food, garden waste, etc.)

*Please list/describe in comments

Comments

13. Other Organic 4 (non-food, garden waste, etc.)

*Please list/describe in comments

Comments

14. Other Organic 5 (non-food, garden waste, etc.)

*Please list/describe in comments

Comments

15. Other Organic 6 (non-food, garden waste, etc.)

*Please list/describe in comments

Comments

16. Other Organic 7 (non-food, garden waste, etc.)

*Please list/describe in comments

Comments

Energy Information

17. Electricity Usage Current Application/Descriptions

(Lighting Heating, Cooling, Refrigeration, Machinery etc.)

18. Electricity Expenditure (USD $/year)

19. Electricity Consumption Volume

*Please denote est. volume and unit of measure

20. Thermal Usage Current Application/Descriptions

(Boiler, absorption chiller, drying, hot water etc.)

21. Thermal Expenditure (USD $/year)

22. Thermal Consumption Volume

*Please denote est. volume and unit of measure

23. Current Thermal Fuel Source Type

(Natural Gas, Diesel, BioFuel etc.)

WESTERN INTERNATIONAL LTD

QUICK LINKS

QUICK LINKS

©2022 ALL RIGHTS RESERVED.