Name and contact phone number of the person submitting this form.
Other:
Project Name:
General Superintendent:
Asst. Superintendent Front End:
Spread #:
Diameter:
Pipe Miles:
County or Counties:
Spread #:
Diameter:
Pipe Miles:
County or Counties:
Operators Local:
Welders Local:
Teamster Local:
Labors Local:
Contact name:
Contact number:
Ext. #:
Office Manager:
Master Mechanic:
Field Office Address:
Management...
Asst. Superintendent Back End:
Field Office Phone:
Crew Foreman...
Clearing / ROW:
Ditching:
Bending:
Setup:
Stringing:
Pipe Gang & Firing line:
X-Ray:
Lowering In:
Road Bores:
Coating:
Padding & Backfill:
Tie-ins:
Hydrostatic Testing:
Cleanup:
Tie-ins:
About the Project...
Company Contact & Agreement...
Spread #:
Diameter:
Pipe Miles:
County or Counties:
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