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 ## Your Contact Details

 Name  

 

 

 Company  

 

 

 Phone number  

 

 

 Address  

 

 

 Postcode  

 





 Country  

 







 

 E-mail  

 

 

 

 

  



 ## Your PFAS Challenge

   Type(s) of firefighting foam currently held     AFFF (Aqueous Film-Forming Foam) 

 

   Protein foam 

 

   Synthetic foam 

 

   Other… 

 



 Enter other…  

 

 

 

   Estimated Quantity  Quantity  

 





 Unit - None -KgLiterM3TonUnity 

 





 

 

 

 Does your foam contain the following PFAS compounds?| Questions | Yes | No | Uncertain |
|---|---|---|---|
| PFOA | Yes | No | Uncertain |
| PFOS | Yes | No | Uncertain |
| PFHxS | Yes | No | Uncertain |



 

 

 

 Projected Timeline - Expected disposal / replacement date  

 

 

 

 

  



 ## Your message

 Tell us more about your PFAS challenges 

 

 

 

 Attachment(s) Attachment (optional)   

 

file types: JPG, PDF, PNG, GIF / up to 8 Mot(s)  
Maximum 5 files.  
8 MB limit.  
Allowed types: gif, jpg, png, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, zip.

 

 

 



 

 

 

  



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   ![PFAS | Firefighting Foam](/sites/g/files/dvc2031/files/styles/crop_freeform/public/image/2025/10/AdobeStock_201854885.jpeg.webp?itok=FLoVFJXd)