Please complete, then mail, fax or e-mail to:

Xitech Inc.
06 Camino De Los Desmontes
Placitas, New Mexico 87043
United States
Phone: Toll Free 1-888-867-9483
fax: (505) 867-0212
E-mail: xitechinc@xitechinc.com

LNAPL Free Pilot Site Questionnaire

  
Contact:*   
Company:  
 Phone Number:*      Email Address:  
1. What type of product  will be recovered from your pilot well?
2. What is the recovery rate of the product in your pilot well ?:  (feet per hour)
3. When did you last check the recovery rate of the pilot well? (Date)
4. What is the current product thickness in your pilot well?:  (feet)
5. What is the well diameter of your pilot well ?:     (inches)        
6. What is the depth to water of your pilot well ?:  (feet)
7. What is the depth to the bottom of your pilot well?: (feet)
8. Is your well casing : PVC    Metal
9. Which is easier to provide?:  12 volt car battery (preferred)      110   AC
10. What is the distance from the top of well to the product holding tank?:  (feet)
           We prefer a 55 gallon drum be placed near the well!

11. What is the distance from the top of well to the pump controller?:  (feet)
            We prefer the controller be place near the well and near the drum!

12. What is the distance from the pump controller to the air source?:  (feet)
            We prefer the bottle be placed near the controller, drum and well!
13. What is the distance from the controller to the holding tank? (feet)
             We prefer them to be placed near each other!
14. Are you interested in applying a low vacuum to the well to increase production?  Yes No
     IF YES, go to our WEB site and print out the "Short" Pilot Study Procedure
15. When would you like to install the pilot study?:  (date)
16. What is the name of the pilot site?:
Comments:

     

Xitech Inc.  06 Camino De Los Desmontes  Placitas, New Mexico 87043 United States
Phone: Toll Free 1-888-867-9483  | fax: (505) 867-0212  E-mail: xitechinc@xitechinc.com

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