Financial Study Request Facility NameName First Last Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhonePhone Format: (###)###-####Email Hauling & Tipping Cost / Per Wet TonLandfill cost per wet tonCost/MWh for electricityCost/MMBTU Natural GasIncoming Sludge % SolidsDesired Percent SolidsIncoming Wet T/D of SludgeValue of Dried Residuals (Per MMBTU)Cost of fuel (coal, bark, etc.) being substitutedPlant AvailabilityPercentage based on shifts per weekWill The Dried Residuals still require landfill?YesNoWill Waste Heat/Steam be available?YesNoWill Natural Gas Be Used?YesNo
