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Pipe Repair Sleeve
Culvert Repair
Pipe Deformation
CIPP Deformation
Ovality Measuring
CCTV Cameras
Chemicals for W.W.
QUOTATION FORM
Contact Information:
Mr.
Mrs.
Miss
Name:
Title:
Position:
Company:
Street Address:
City:
State/Province:
Postal Code/Zip:
Country:
Telephone:
Mobile:
Fax:
Email:
Website:
Technical Details:
Pipe Type:
Please choose from the menu
Storm Sewer
Sanitary Sewer
Drain
Culvert
Force Main
Combined Storm/Sani
Water Main
Gas Line
Pressure Pipe
Industrial Pipe
Sewage Tunnel
Utility Tunnel
Water Well Casing
Other:
Pipe Material:
Please choose from the menu
VC Vitrified Clay
Concrete RCP
Asbestos Cement
CI Cast Iron
HDPE
PVC (by O.D.)
PVC (by I.D.)
Iron/Street
Other
Other:
Pipe Internal Diameter:
Unit:
in
mm
Gravity Flow?
Yes
No
If "No" What is the Pipe Internal Pressure?
Unit:
psi
bar
Bends/Elbows:
Distance Between Manholes/Access Points:
Unit:
feet
meters
Diam. of Manhole/Access Point Opening:
Unit:
in
mm
Chimney removable?
Yes
No
Depth of Pipe:
Unit:
feet
meters
Depth of Manhole:
Upstream:
Downstream:
Unit:
feet
meters
Ground Water Level above Pipe Invert:
Unit:
feet
meters
Type of Damage:
Please choose from the menu
Longitudinal Cracks
Circumferential Cracks
Hole in Pipe
Broken Joint
Offset Joint
Separated Joint
Infiltration
Missing Pipe
Collapsed Pipe
Pipe Out of Round
Root Infiltration
Corrosion
Other:
Length of Damage:
Unit:
in
mm
feet
meters
Distance of Damage from Manhole:
Unit:
feet
meters
Offset Joint:
Unit:
in
mm
Pipe Out of Round:
%
Comments:
Pipe Repair Sleeve
