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This questionnaire is specifically for tanks intended to store landfill leachate or leachate condensate. Leachate tanks MUST BE Double Wall with the inner wall lined with vinyl ester resin, hydrostatically monitored, and buried in a lined pit. If phase separation will occur, they are also to be continuously agitated.

1. Is the pH of the leachate within the range 3 – 12 ?  yes   no
If No, the actual range is  to 


2. Will tank be continuously agitated? yes   no

If the tank is to be agitated (yes), skip questions 3 and 4.
If (No), or unknown, answer questions 3 and 4.

3. Chemical oxygen demand: ppm   unknown
Normally required for leachate tanks or tanks with chemical mixtures.

4. Biochemical oxygen demand: ppm   unknown
Normally required for leachate tanks or tanks with chemical mixtures.


5. Is burial depth less than or equal to 7 feet? yes   no
If No, what is the burial depth?  feet


6. Tank operating with pressure or vacuum?
pressure  (psi, N/cm2 , in. H2O, ft H2O, etc.) (ma 1 psi)
vacuum   (in. H2O, in. Hg, mm Hg, etc.)


7. What are the normal operating temperatures?
Minimum (°F)       Maximum (°F) 

Use this space for additional comments or questions:
 
 

Note: Failure to answer questions or supply complete information about the chemical(s) or mixture to be stored in the tank may cause delays in the approval process and/or misapplication of the product.