Recirculating Well Technology Design Data Form

Date

Client

* Contact Person

Project Name/Location

* Email

Phone

Fax

Site map showing source(s), monitoring wells

Lithologic cross sections at right angles

Map showing horizontal and vertical distribution of contaminants in vadose zone

Map showing horizontal and vertical distribution of contaminants in saturated zone

Well logs, test borings

Treatment objective(s)

Contaminants of concern and their respective concentrations

Action levels for above contaminants

Describe plume dimensions & depths

Free product present?

Thickness (ft)

LNAPLs / DNAPLs present?

Confined aquifer?

If yes, please describe

Saturated zone hydraulic conductivity

Anisotropic ratio

Depth to groundwater (ft bgs)

Seasonal variations in groundwater elevation (ft)

Aquifer thickness (saturated depth) (ft)

Aquifer porosity

Plume thickness if less than saturated thickness (ft)

Hydraulic gradient (ft/ft)

Pump test results (gpm)

pH

Groundwater temperature (C)

Dissolved iron (ppm)

Total iron (ppm)

Other inorganics of concern (ppm)

Calcite precipitation potential for DDC (alkalinity, calcium, total dissolved solids, temperature, pH)

Off gas treatment requirements

Other relevant information

* Please re-type the characters in the orange box