Project Information Form
 
Request advice, an estimate or quote from Clearmake for all your commercial and industrial water treatment, recycling, and harvesting projects. Simply complete the following form to the best of your knowledge and submit for a prompt response from the Clearmake team.
 

CLIENT CONTACT DETAILS
Contact Name:*

Project Address:

Email:*

Phone:*

Fax:

Mobile:

PROJECT DETAILS
How is the waste water generated?
vehicle wash down
floor washing
equipment degreasing
other

If other, please explain:

What does the waste water contain?
hydrocarbons
silt
organics
heavy metals
detergents
other

If other, please explain:

What equipment do you use to wash down?
garden hose
pressure washer
fire hose

How much water do you use per hour/day?

How many hours do you wash down each day?

Will the system handle flammable/dangerous liquids?
Yes No

Is the system in a hazardous area? e.g. refuelling
Yes No

Do you currently (or do you intend to) discharge your waste water to sewer or to stormwater?
currently discharge to sewer
currently discharge to stormwater
plan to discharge to sewer
plan to discharge to stormwater

Are you currently charged for discharging to sewer?
Yes No

Do you want to recycle your waste water?
Yes No

What do you want to use the recycled water for?

Which suburb/shire/state will project/system be in?

Is this project a new installation or an upgrade?
New Upgrade

Is there existing equipment you wish to re-use?
Yes No

If yes, please explain:

Is the wash down area roofed or unroofed?
Roofed Unroofed

Where will our system be sited?
Shed Yard Plant-room Other

What services are available on site?
Electricity
3-phase
Stormwater
Sewer

When will the system be required?
This month
3 months
6 months
12 months (or more)

Have you engaged a consulting engineer? If so can we contact them?
Yes No

Consulting Engineer (if applicable):

Are there existing site/project drawings? If so, please send us a copy.
Yes No

Would you like a quote for a Spitwater High Pressure Cleaner as part of your solution?
Yes No

HOW CAN CLEARMAKE HELP YOU
What do you need from us?
Information
Budget Estimate
Quote

When do you need it?
<48h This week This month

Are you the person who needs the quote?
Yes No

If not, who is the best person to send it to?

How did you hear about Clearmake?
Website
Yellow Pages
Referral
Other
Thank you for taking the time to provide us with a better understanding of your project needs. Please submit your request (below) and we'll be in touch. If you'd like to follow up on your request, please feel free to call us on 1800 700 267.
 
* Indicates field is required.