PROJECT INFORMATION FORM
If possible, please Fax or Mail Plans Specifications, Test Bore Data and any other pertinent information relative to our work.
Contact Name:
Phone:
Fax:
Company:
Project Name:
Public Private
Project Location:
Engineer:
Engineer Phone:
Bid Date:
Owner:
Length
Casing Size
Thickness
Carrier Size/Material
Application
Is Grade Critical?
Pit Depth
Gravity Sewer
Water Line
Force Main
Yes
No
When will job take place?
Who excavates pits? Midwest Mole Contractor
Will trench boxes be required? Yes No
Who is to Thread and Block the Carrier? Midwest Mole Contractor
NOTE: Contractor to furnish casing spacers if required
Is the void inside casing to be grouted? Yes No Don't Know
What are the soil conditions? Water Rock Clay Sand Mixed Gravel
Is the Water Table Above Below the pipe?
Are Boring Logs available? Yes No
Comments:
Is the site for the pit open or is it tight?
What kind of vehicle access is there?
Are there any utilities that may be a problem?
Are there any lines overhead? (Crane operation):
How critical is line and grade?
Do we need to hit an existing manhole or line?
Other Comments:
