WADER water technologies demonstration programme

The information collected on this form will be used to help develop the South African National Test Bed Network for connecting researchers, new technology providers, funding agents and funding partners and other innovators in the water resources recovery industry with potential test facilities.
After submission you will be contacted and given a chance to edit your information before it is posted.

Email *
Facility Name  

(What is the name of your Test Bed or Facility)
*
Name of Testbed Owner 

(Please provide the name of the owner of the Test Bed)
*
Type of Facility  

(Choose from the drop-down options which bests describes the your testbed facility)

*
Name of Cognizant Agency/ Organization/ Academic Institution (or partnership)

(Please tell people who might be interested in using your facility a bit about the facility and the people who
run it. If there are multiple partners, comment  as to who is the "driver / lobbyist" of the testbed - could also be a programme)

*
Facility Contact or Contact Person Name & Job Title

(Please provide the relevant contact details of the person/position related to making decisions relating to the use of the Test Bed or allowing discussions for enquires by those who might be interested in using your facility.) 
*
Facility Contact or Contact Person Contact no: *
Facility Contact or Contact Person email: *
Secondary Contact: Name & Job Title

(If relevant/ applicable)
Secondary Contact Contact no:
Secondary Contact  email:
Facility Address 

(Please provide details as to the physical address, area and coordinates relating to the location of the Test Bed, or in the case of multiple Test Beds or programmatic Test Beds, provide the location of the relevant Cognizant Agency/ Organization/ Academic Institution office.)
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Street  Address
*
Postal Address
*
Suburb
*
City
*
Municipality
*
District
*
Province
*
Country
*
Facility Location: Name of area
*
Facility Location GPS Coordinates (Southern Africa): DMS (degrees, minutes, secondes)

(For example: UKZN Durban
Latitude
S: 29° 52'  02.66''
Longitude
E:  30°  58'  50.58'') 

*
Web contact:

(If available, please provide the website address related to the relevant Test Bed or the relevant Cognizant Agency/ Organization/ Academic Institution involved with the Test Bed.)
Facility Partners /Participant Organisation / Partners / MoU members

( Please tell people who might be interested in using your facility a bit about the facility and the people who run it. If there are multiple partners, comment as to who is the "driver / lobbyist" of the testbed - could also be a programme.) 
Financial implications of use: 

(Choose from the drop-down options which bests describes the funding mechanism of the testbed)
*
Financial implications of use: 

(Provide any additional information to provide a better description of the financial implications)
Contribution of the host facility: 

(Describe type of contribution that the host facility can make to solutions demonstrations (finance, time, infrastructure, project management, etc.)
Collaboration Potential of the facility: 

(Comment on the willingness of the host organization and extent to which the facility could partner with other test sites and universities)
Ownership sector of Testbed: 

(
Choose from the drop-down options which bests describes the ownership options of : Research Institute, Academic Institution, Industry, Private Sector, NPO, Nat/Prov Government, Municipal, Water Services Authority, Water Authority or combination)
*
Test Bed site Solutions offered: 

( Provide comment as to the envisaged solution/s that the Test Bed or facility will be offering or are offering?)
Sustainability/ planned longevity of the site: 

( Provide comment as to the envisaged Sustainability/ planned longevity of the site. Are the factors that would impact, eg leases, licence / EIA compliance requirements or a limited operational timeframe, et al.)
Testbed type:

(Choose from the drop-down options which bests describes the type testbed)
*
Testbed type:

(Provide additional information to describe the relationship -  if necessary)
Description of Test Facility 

( Provide a Short Description of Test Facility (50-100 words). Please tell people who might be interested in using your facility a bit about the facility.)
Key Staff 

(Please provide a short description of Key Staff available either on-site or directly linked to the operations of the Test Bed. If possible provide Role/ Function/ Qualifications/ short Bios)
Services available

( Please provide details about the services you have available which are either linked to the test bed or can be made available in terms of the test bed, eg operators, telemetry, etc)
Size of Dedicated Test Space 

(Indicate the size of the dedicated Test Space available (m2), or what space can be made available and indicate if there are any restrictions, eg space for additional infrastructure, process restrictions, access for equipment etc. that needs to be noted upfront)
Number of Testing Stations 

(Number of Testing Stations or different locations Available)
Technology Concentration 

(Please identify the relevant Technology Concentration/s & Technology Categories and various Testing Sub streams applicable to the site. The table (button / link to be inserted to spreadsheet on Tech concentrtion and substream) provides some of the main examples which can be referenced:
Choose from one or combination as shown in the spreadsheet on Tech Conctreation & Sub Streams: eg
* Water Supply: e.g. Drinking water treatment technology; Water treatment for rural communities; Water distribution and distribution systems
* Wastewater Municipal: e.g. Emerging treatment technologies; Application of appropriate technologies and tools; Wastewater sludge and faecal sludge management;  Sanitation technology and innovations
* Water Resource Recovery: Treatment technologies, e.g. rehabilitation of eutrophication zones
* Recovered potable water (e.g. desalination)
* Recycling (industry)
* Water security, e.g. rain harvesting, fog water
* Wastewater Industrial: Water efficiency, cleaner production, beneficiation and treatment of industrial effluents
* Wastewater Mining: Minimising waste production
* Water Utilisation in Agriculture)
Testing Streams 

( Please provide details about the Testing Streams (Choose from one or combination as shown in the spreadsheet on Tech Conctreation & Sub Streams))
Fill one by one, grouping with 
Per Technology Category above.
*
Other Testing Streams 

( Please provide details about the Testing Streams (Choose from one or combination as shown in the spreadsheet on Tech Conctreation & Sub Streams))
Fill one by one, grouping with 
Per Technology Category above.
Size of Test Flow Available 

(Please provide details about the test flow or range of flows available)
Lab & Lab Equipment 

(Please identify what laboratory/s and equipment/space/level of services are available to researchers, and if they are on-site or off-site (where?). With regard to the laboratory services, please indicate certification where available)
Other Services 

(Please give an indication with regard to other factors that may also require site relevant understanding. Such factors include but are not limited to security of site and site access, not just in terms of securing equipment, preventing vandalism etc, but also in term of access for researchers if consistent and regular site visits are required, eg daily meter readings. Other factors of note are consistency of specific factors or risks such as power/ and back-up power generators (regular power outages will impact on operations and results). 
Dedicated Power Connection

(Details) 
Dedicated office area (phone, data, etc.) 

(Details) 
Dedicated potable water connection 

(Details) 
Dedicated plant water connection 

(Details) 
24/7 access or day time access

(Details) 
On-site parking 

(Details) 
Security

(Details) 
Kitchen facilities, showers

(Details) 
Technical assistance/trouble shooting 

(Details) 
Electrical trades available on staff 

(Details) 
Plumbing trades available on staff 

(Details) 
Other skilled trades available on staff 

(Details) 
Fabrication services/shop available on site

(Details) 
Biologist/ Chemist/ Other scientists available on staff 

(Details) 
Other options

(Details) 
Quality or Parameters tested:

(Please provide details on the type of quality parameters or constituents that is being tested to verify performance of the test bed)
Results Time Frame & Duration:

( Please provide details on the expected timeframe for test bed operation before results expected; expected duration (year to year), etc. to verify performance of the test bed)
Link to images and/or relevant documents:

(Please either insert link to relevant documents or provide pdf copies of documents for uploading by the web site)
Test Bed Potential to Scale-up Level (Where relevant)

(Where relevant - please indicate the potential of the site to be scaled-up to different levels and what would be required to achieve this)
Potential Social Impact of the Test Bed outcomes

(If possible and where relevant, please provide comment on Potential Social Impact of the Test Bed outcomes in terms of aspects such as: Potential for future franchising, small contractor involvement, job creation, etc)
Key Enablers  (Where relevant)

(Key Enablers (Where relevant)
If possible and where relevant, please provide comment or identify the key enablers needed)
funds, expertise, etc to attract investors and funding agents to these test beds
On a situation scale of 1-5, which description best fits your facility?
Scale 1: Have full resources available to implement or extend test bed
Scale 2: Have most resources available, but may not be able to facilitate function specific resources to implement or extend test bed
Scale 3: Have partial resources available (50%) to implement or extend test bed
Scale 4: Have limited resources available to implement or extend test bed
Scale 5:  Have critical gap in resources to implement or extend test bed
   
Have full resources available to implement or extend test bed
Have critical gap in resources to implement or extend test bed
Clear selection
Primary funding available
funds, expertise, etc to attract investors and funding agents to these test beds
On a situation scale of 1-5, which description best fits your facility?
Scale 1: Have full resources available to implement or extend test bed
Scale 2: Have most resources available, but may not be able to facilitate function specific resources to implement or extend test bed
Scale 3: Have partial resources available (50%) to implement or extend test bed
Scale 4: Have limited resources available to implement or extend test bed
Scale 5:  Have critical gap in resources to implement or extend test bed
   
Have full resources available to implement or extend test bed
Have critical gap in resources to implement or extend test bed
Clear selection
Co-funding 
funds, expertise, etc to attract investors and funding agents to these test beds
On a situation scale of 1-5, which description best fits your facility?
Scale 1: Have full resources available to implement or extend test bed
Scale 2: Have most resources available, but may not be able to facilitate function specific resources to implement or extend test bed
Scale 3: Have partial resources available (50%) to implement or extend test bed
Scale 4: Have limited resources available to implement or extend test bed
Scale 5:  Have critical gap in resources to implement or extend test bed
   
Have full resources available to implement or extend test bed
Have critical gap in resources to implement or extend test bed
Clear selection
Site availability
funds, expertise, etc to attract investors and funding agents to these test beds
On a situation scale of 1-5, which description best fits your facility?
Scale 1: Have full resources available to implement or extend test bed
Scale 2: Have most resources available, but may not be able to facilitate function specific resources to implement or extend test bed
Scale 3: Have partial resources available (50%) to implement or extend test bed
Scale 4: Have limited resources available to implement or extend test bed
Scale 5:  Have critical gap in resources to implement or extend test bed
   
Have full resources available to implement or extend test bed
Have critical gap in resources to implement or extend test bed
Clear selection
Expertise 
funds, expertise, etc to attract investors and funding agents to these test beds
On a situation scale of 1-5, which description best fits your facility?
Scale 1: Have full resources available to implement or extend test bed
Scale 2: Have most resources available, but may not be able to facilitate function specific resources to implement or extend test bed
Scale 3: Have partial resources available (50%) to implement or extend test bed
Scale 4: Have limited resources available to implement or extend test bed
Scale 5:  Have critical gap in resources to implement or extend test bed
   
Have full resources available to implement or extend test bed
Have critical gap in resources to implement or extend test bed
Clear selection
Lab
funds, expertise, etc to attract investors and funding agents to these test beds
On a situation scale of 1-5, which description best fits your facility?
Scale 1: Have full resources available to implement or extend test bed
Scale 2: Have most resources available, but may not be able to facilitate function specific resources to implement or extend test bed
Scale 3: Have partial resources available (50%) to implement or extend test bed
Scale 4: Have limited resources available to implement or extend test bed
Scale 5:  Have critical gap in resources to implement or extend test bed
   
Have full resources available to implement or extend test bed
Have critical gap in resources to implement or extend test bed
Clear selection
Potential factors that facilitate the Test Bed development, operations and sustainability in South Africa

Optional:
If possible, please provide comment on your opinion of the factors that facilitate the Test Bed development, operations and sustainability and factors that hinder the Test Bed development, operations and sustainability

A copy of your responses will be emailed to the address you provided.
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