Laundries Water Efficiency Program WATER AND ENERGY AUDIT. Application Form

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1 Laundries Water Efficiency Program WATER AND ENERGY AUDIT Application Form

2 Complete the application form to receive your quote Register your interest in a discounted water and energy audit by completing this application form. Upon acceptance to the program, you will receive a quote for 12% of the original cost of the audit, based on your answers in this application form. The has been selected as a trusted partner to conduct the audit of your laundry business. The numbers of audits available are limited, so return your application form as soon as possible, and before 12 November STEPS TO YOUR TAILORED WATER AND ENERGY REPORT: 1) Register your interest by sending us your completed application form 2) Receive the quote for the audit 3) Pay the upfront fee 4) Arrange a date for the Auditor to conduct the water and energy audit 5) Upon completion, receive your personal report with recommendations on how you can save water and energy and reduce operation costs CONTACT DETAILS Mrs Mr Ms Other First Name Surname Business Name Laundry Type Small / Medium Commercial Laundry (up to 10 tonnes of laundry per week, up to 16,000 kl of water per year) On-Premise Laundry Premise Type: (E.g. Hotel, Hospital) (Approx. 2 tonnes of laundry per week, around 2,000 kl of water per year) Other Address Suburb Phone Postcode State Water Authority Your personal information will be kept confidential and will only be used for the purpose of the program and assisting your business. Information about your water and energy consumption is used only for evaluating the program.

3 WATER AND ENERGY EFFICIENCY AUDIT APPLICATION FORM The following information is required so we can give you an accurate quote for the water and energy audit. INFORMATION REQUIRED Map or sketch of the overall site showing layout of laundry within site This will provide a good overview of the size of the site and the type of equipment/production lines/warehouse etc located in the laundry (and the overall site if possible). Bills showing last 12 months water use for the site Include a copy of the bills (front and back of all pages). Water use and bill/s should be laundry specific where possible. If not possible, provide information for overall site (e.g. hotel, hospital, etc) If you don t have the water consumption data available: Do you consent to your Water Authority providing your historical water consumption data to the Auditor? Last 12 months trade waste details for the site Please tick box Attached Yes No Details of chemicals used in the laundry Last 12 months energy use for the site Include a copy of the bills (front and back of all pages) for each energy type listed below. Energy use and bill/s should be laundry specific where possible. If not possible, provide information for overall site (e.g. hotel, hospital, etc) - Electricity consumption - Natural gas consumption - LPG (or other energy source) consumption

4 Site details Site name Address Site contact details Phone number Hours of operation of laundry Days per week operation Days per year operation Average number of tonnes of laundry processed per week (tonnes/week) Please provide a description of the site s main activities (if not solely a laundry) e.g. food processing, hospital, aged care facility, etc. Stand alone laundry, or Describe your operations: Number of full-time equivalent laundry staff Water and Energy Using Appliances of your laundry Washing machines Please indicate type and number of washing machines

5 Dryers Please indicate type and number of dryers. Please indicate fuel type (e.g. natural gas, electricity, etc). Boilers Do you have boilers onsite? What is the steam / hot water used for? Other Does the laundry have any water or energy sub-metering? If so, please provide details. Are there any other uses that may significantly affect water and energy consumption across the laundry? Have any water and energy saving measures previously been implemented at the laundry?

6 Frequently Asked Questions 1. Who can participate in the audit? The audit is for small/medium commercial laundries and on-premise laundries only. Unfortunately the audit can t be offered to large commercial laundries, industrial laundries and public access laundries (laundromats). Eligible small/medium commercial laundries would typically wash up to 10 tonnes of laundry per week, and use up to 16,000 kl of water per year. Eligible on-premise laundries would wash approx. 2 tonnes of laundry per week, and use 2,000 kl of water per year. 2. Does the audit cover other areas of the facility, for example the kitchen? No, the audit is specific to the non-residential laundry activities only. 3. What does the audit involve? The audit involves a site visit from an Auditor of the. Your laundry operations, equipment and processes will be audited (water and level 1 energy audit) with a view to improving efficiency. You will receive a report with specific recommendations on how your business can become more energy and water efficient. 4. What is a water audit? A water audit collects information about your laundry s systems to see how efficient they are and identifies opportunities for improvement. Where applicable, the water audit may include the collection of real time water use through data logging. 5. What is a level 1 energy audit? The Australian Standard AS/NZS 3598:2000 defines three levels of energy audit. A level 1 energy audit provides an assessment of energy consumption of your laundry, defines initial energy benchmarks and identifies energy efficiency opportunities (with savings and costs estimated to an accuracy of 40%). Level 2 and level 3 energy audits are more comprehensive assessments that provide more accurate savings and cost estimates. 6. Can I have a more detailed energy audit? Depending upon the size and operations of your site it may be possible to allocate the subsidy of the Laundries Water Efficiency Program towards the water audit and a more detailed energy audit (i.e. level 2 energy audit). Any additional cost for the energy audit would need to be funded wholly by your business. Our Auditor will determine eligibility and cost for this service. 7. How much does the audit cost? The Laundries Water Efficiency Program provides for 88% of the cost of the audit. So your business is required to cover the remaining 12% of the audit cost. This must be paid prior to the audit commencing. Your contribution is estimated to be between $270 and $730 including GST. 8. Will there be any additional cost to the original quote? Any works outside the scope of the project including a level 2 energy audit, will be an additional cost to your company. This would be subject to an additional proposal by the.

7 9. How do I pay? The will invoice your business. Work will only proceed once payment has been received. 10. Who will undertake the audit? An experienced Senior Auditor Environment and Energy from the will conduct the audit. The Auditors have extensive experience in providing practical advice and assistance to industry on water and energy efficiency related issues. 11. How can I participate in the audit? Fill in the application form enclosed with this information pack and return it to the Australian Industry Group (address below). 12. Do I need to answer all questions in the application form to be eligible? Yes. Please answer all questions and provide all information required. If you have any questions about this, feel free to contact the Auditor (contact information below). 13. I don t have my past energy bills. What should I do? Contact your energy retailers (e.g. TRU Energy, AGL, etc) and request your consumption and cost data for the past 12 months. This data must be included in the Application. 14. I don t have my past water bills. What should I do? Give consent to your Water Authority to provide your historical water consumption data to the Auditor. We will contact your Water Authority on your behalf. 15. What is involved during the site visit? A site visit will take place to review your laundry s activities and environmental practices. A suitable representative of your business will need to accompany the Auditor during the site visit and respond to relevant questions relating to your laundry s practices. 16. What will I receive at the completion of the audit? Your laundry business will receive a report documenting the findings of the assessment. A copy of the report will also be retained by the, your Water Authority and Yarra Valley Water (who manage the Laundries Water Efficiency Program for the Victorian Water Industry). 17. How long will the Auditor be on my site? The Auditor will spend up to one business day on your site between 8:00 am and 5:00 pm, depending on the size and activity of your laundry business. The day of the site visit will be determined together with you to suit your needs. 18. What is the Laundries Water Efficiency Program? The Laundries Water Efficiency Program is an initiative of the Department of Sustainability and Environment to promote water efficiency in non-residential laundries across Victoria. It was initially established during the drought. This audit is the last stage of the program. Yarra Valley Water is the Program Manager and the has been engaged as service provider.

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