SUBMIT YOUR ALGAE PROJECT DATA

Please complete and submit this system requirements form and we will contact you

to discuss feasible options.

Your (ame

Company

Street Address

City

State

Zip

Email

Phone

Project (ame

Project Description

Projected Project Start Date

Intended Budget

How did you hear about us?

1. Current Permit Requirements for Growing Algae:

2. Purpose of plant Algae Plant

Carbon Dioxide Sequestration

Biofuel Production

Surface Water Discharge

Algae Cake

3. Electrical Power Available at Site:

4. Location of Algae Plant:

Land Available for

Whether Conditions (temperature etc

5. Do you have a topographical survey: (Yes/(o)

6. Do you have soil borings: (Yes/(o)

7. Do you have algae species identified for use with this project: (Yes/(o)

8. Do you know what level of oil content your algae contain: (Yes/(o)

9. Do you have a Carbon Dioxide source: (Yes/(o)

10. Do you have a water source for the algae?

Fresh Water

Salt Water

Or Other

11. Do you have a nutrient source for the algae?

12. How many hours of sunlight do you have daily?

13. What did you spend on sludge transportation last year?

14. What did you spend on sludge handling before transportation last year?

15. What did you spend on electricity cost last year?

Please Contact us directly if you have additional questions.

Victor Garlington

Director of Client Services

70CentsaGallon.com

Ph: (941) 870 2306

Call us (Free) Internationally on Skype: Biodfuel70

Victor@70CentsaGallon.com