| Company:* |
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| CPF / CNPJ:* |
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| Address:* |
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| City:* |
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| State:* |
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| Telephone:* |
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E-mail:* |
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| Contact:* |
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Site: |
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| Business Activity:* |
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| Treatment desired:* |
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ETA - water treatment origin: |
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| Flow: |
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| Final destination: |
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| No. of users: |
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ETE - Industrial: |
| Provenance: |
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| Flow: |
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| Destination: |
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| Describe how the wastewater is generated: |
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ETE Health - Origin |
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| |
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| Flow: |
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| Final destination: |
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| No. of users: |
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- Does it have any sort of treatment or equipments already installed?
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| Attach report analysis: |
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| - Note, we have our own laboratory for analysis. |
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