Contact Name
Phone
Fax
Company
Email
Project Name
Project is:
Public
Private
Project Location
Engineer
Engineer Phone
Bid Date
Owner
Length
Casing Size
Thickness
Crossing Under
Carrier Size/Material
Application
Gravity Sewer
Water Line
Force Main
Is Grade Critical?
Yes
No
Pit Depth
Length
Casing Size
Thickness
Crossing Under
Carrier Size/Material
Application
Gravity Sewer
Water Line
Force Main
Is Grade Critical?
Yes
No
Pit Depth
Length
Casing Size
Thickness
Crossing Under
Carrier Size/Material
Application
Gravity Sewer
Water Line
Force Main
Is Grade Critical?
Yes
No
Pit Depth
When will job take place?
Who excavates pits?
Standard Utilities
Contractor
Will trench boxes be required?
Yes
No
Is the void inside casing to be grouted?
Yes
No
Don’t Know
What are the soil conditions?
Water
Rock
Clay
Sand
Mixed
Gravel
The water table is located:
Above the Pipe
Below the Pipe
Are Boring Logs available?
Yes
No
Comments
The site for the pit is:
Open
Tight
What kind of vehicle access is there?
Specify any utilities that may be a problem:
Are thee any lines overhead? (Crane Options)
How critical is line and grade?
Do we need to hit an existing manhole or line?
Comments
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