United Awarded $6M Contract to Install Tite Liner® in Chilean Copper Mine
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Tite Liner® Project Questionnaire

For a cost estimate and additional information regarding your project, please provide the following information by either completing the attached Word document and emailing to jschmitz@insituform.com, or by filling out the online form below:

Customer Information
Company Name*:
First Name:
Last Name:
Title:
E-mail Address*:
Address:
 
City:
State:
Country:
Zip Code:
Telephone:
Fax Number:
Project Information
Project Location:
Anticipated Start Date:
Project Status:

Pipeline System Information
Total Length:
Fluid(s) Contained:
Outside Diameter:
Wall Thickness or Schedule #:
Pipe Material:
Test Pressure:
Operating Pressure:
Operating Temperature:
Existing Fittings:
Field Bend Radii:
Joint Connection:
Depth of Pipeline:
Age of Existing Pipe (Years):
Is the Pipe Currently Operation:
Describe Location of Line and Terrain:
Repair History of Line:
Internal Scale or Deposits:
Existing Internal Coating:
Reason for Lining:
What Other Options Are Under Investigation:
How Did You Find Out About the Tite® Liner Solution:
Scope of Work
Indicates work items to be performed by United:
If possible, please attach a file containing a drawing of the pipeline, including fottages, elevation, etc.
Questionnaire Completed By:
Date:
Phone:
* - denotes required field