EXCAVATION FORM
Date
*
-
Month
-
Day
Year
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Technician
*
Customer Name
*
City
*
State:
*
Location
*
Please Select
INSIDE
OUTSIDE
Area of Excavation
*
Ex. Left side of building
Ground Surface
*
Please Select
ASPHALT
CONCRETE
TILE
GRASS
MULCH
Tile Info if applicable
*
Size, Color, Texture, etc
What is the depth?
*
Type of Existing Pipe
*
PVC, Cast Iron, Clay, etc.
Number of feet to be replaced?
*
What is the size of the pipe?
*
Can this be completed during normal business hours?
*
Please Select
YES
NO
Fixtures to be moved?
*
Please Select
YES
NO
Include in photos
Parking
*
Please Select
PARKING LOT
STREET PARKING
PARTS NEEDED:
*
List parts or upload a written list below. If none, state "none".
ADDITIONAL INFO
*
Provide a description of issue and work to be completed.
PHOTOS
*
Upload a File
EXCAVATION AREA WITH MARKING, WIDE ANGLE SHOT, ETC
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