Manure self treatment form

To better serve you, we have developed this short questionnaire to get a better idea of your operation and the issues you might be having. We will study your specific problems and come up with the appropriate solution. Easy as that.


		
		
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
          Name: 
First Last
Address: Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip CodeCountry
Phone: - 
Area Code Phone Number
E-mail: 
Preferred method(s) of contact: Cell Phone
Home Phone
email
Manure Type: Hog Beef Dairy Turkey Chicken Other
Other manure Type: 
Current manure issues: Crusting Flies Odor Bottom Solids Other
Other manure Issues: 
Current products used for disease control: Antibiotics Disinfectants Foot Treatments Other
Other disease control products: 
Manure treatment products used: 
Size of Pit or Lagoon to be treated (in gallons): 
Building type: Tunnel Barn Curtain Barn Monoslope
Other Barn type: 
Date last time Pit or Lagoon was pumped out: 
Approximate amount in Pit or Lagoon currently: 
Is pit under the barn? yes no
Can you treat in the winter?: yes no
(lagoons) Can treatment be fed into lagoon through barn? yes no
Other notes: 
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Word Verification: