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Electric <br />Communications <br />Waste Water <br />Anticipated energy use <br />❑ Fiber Optics <br />Gallons per day <br />❑ Production <br />❑ Microwave <br />Temperature <br />❑ Office/computers <br />❑ Digital switching <br />PH level <br />❑ Facility hearing/cooling <br />❑ High capacity T-1 <br />Raw wastewater loads BOD <br />Desired service voltage <br />❑ Satellite earth station <br />(Biological Oxygen Demand <br />❑ <br />❑ <br />pounds/day) <br />❑ <br />LlCoaxial cable <br />❑ <br />Desired building amperage <br />❑ Twisted pair linkages <br />TSS (suspended solids pounds/day) <br />Quality requirements <br />Gas <br />MMBTU's <br />Therms per month <br />Gas main size <br />Water Use <br />❑ Production process <br />❑ Consumption <br />❑ Sprinkler system <br />Desired average daily use/gallons per <br />day <br />Number of current full-time employees Average full-time wage /hr <br />Number of current part-time employees Average part-time wage /hr <br />Number of new employees needed by occupation/skill within 24 months <br />Skilled <br />Unskilled <br />Clerical <br />Professional (e.g. <br />Management <br />Avg. wage/hour <br />Position description <br />• Sources for Capital Investment (check one) <br />Critical <br />Highly Desirable <br />Desirable <br />Neutral/NA <br />Land <br />❑ <br />❑ <br />❑ <br />❑ <br />Construction <br />❑ <br />❑ <br />❑ <br />❑ <br />Machinery/Equipment <br />❑ <br />❑ <br />❑ <br />❑ <br />• Export/International business assistance <br />❑ <br />❑ <br />❑ <br />❑ <br />• Expand market opportunities <br />❑ <br />❑ <br />❑ <br />❑ <br />• Technology transfer/improving production <br />❑ <br />❑ <br />❑ <br />❑ <br />• Workforce development training <br />❑ <br />❑ <br />❑ <br />❑ <br />• Other <br />❑ <br />❑ <br />❑ <br />❑ <br />Page 4 of 4 <br />conhtlentud 9/06 <br />