Temperature Conversion Calculator
°F =  °C
 
 
°C =  °F
 






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All Rights Reserved

 
 


In order to provide you with an estimated cost for service, please provide us with as much of the following information as possible.  The more information you are able to provide, the more accurate our estimate for service will be.  If you have any questions, please feel free to contact one of our representatives at 910.395.6002.

Contact Information
Company Name:
Contact Person:
Address:
 
City:
State:  Zip:
Phone
(include area code):
 Fax:
Email:
   

Job Information
 Requested Date of Service:   [ex: 01/02/2003]
 Pipe Size (outer diameter):   [in inches]
 Pipe Orientation:
 Pipe Material
 (ex: seamless steel, cast iron, etc.):
 Pipe wall thickness:
 Pipe Contents:
 Freezing Point of Contents: ˚
 Pipe Pressure:
 Means of stopping flow (ex: shutoff valve, etc.)
 Pipe located above or below ground? Above Below
 If above ground, will scaffolding be required?
 Are rigid pipe supports present and in good
 shape?
 Are there pipe welds near repair area?
 If yes, distance from repair area to welds:
 
 Are there pipe components near the
 repair area?
 If so, please specify the distance to the Pipe Components from repair area as well as the type
 of component (branches, fittings, valves, thermo wells, etc):
 component 1 distance: in.
 component 2 distance: in.
 component 3 distance: in.
 component 4 distance: in.
   
 Are dead ends present near repair area?
 If yes, distance from repair area to dead ends:
 Is the work area well ventilated?
 If No, approximate distance to nearest exhaust
 vent / opening or window:
   
 Type of work to be performed:  
         

 Any other questions/ comments:
         
 



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