Customer Checklist for Liner Pulls

Please complete every field.

Company and location

Directions to location

Any road bans?

Tenative Start Date

Contact Person and Phone Number(s)

Size and wall thickness of existing pipeline

Does the pipeline have integrity?

What size and type of linear material is being used?

Please describe the scope of work. Include details about ROW conditions, anomolies in the pipeline

(changes in wall thickness, bore sections, bends, fittings, elevation changes, etc.) safety concerns

What services would you like our company to provide?

Comments

Ordering and shipping out of materials

Yes No

Cleaning existing pipeline

Yes No

Determining pull points and doing the excavations

Yes No

Preparing the conduit pipeline for pulling a liner

Yes No

Installing the fittings on the liner

Yes No

Installing the risers

Yes No

Insulating the risers

Yes No

Pressure or structural welding

Yes No

Pressure testing

Yes No

Backfill and cleanup

Yes No

Are bellholes ready for us? (Need 150 series flanges welded on the conduit pipe
approximately 7 meters cut out, minimum)

Yes No

E-Mail

Date

AFE#

Additional notes

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