Pre Job ReportField@BlueWaterTapping.Com(610) 779-9220 Company Name & Billing Address Customer Scheduling Contact Name Customer Scheduling Contact Email * Project Manager & Email Blue Water Quote# Date of Job * Time Excavation will be prepared for Installation * Type & Size of Installation i.e. 8x6 Wet Tap, 8in EZ Valve Insertion, 4in Temporary Line Stop OD & Type of Existing Pipe Type of Line * Domestic Water Line FIre Protection Water Line(Fireline) Other Pressure in Existing Line Open Direction * Open Left Open Right Supplying Materials Please have Blue Water Supply the Materials for the Installation We, the customer, will supply the Materials for the Installation Supplier, Brand & Model of Materials Sleeve Pressure Test Air Water Pressure Sleeve/Valve is to be Tested at Prior to cutting into Pipe PO/Subcontract #(If Applicable) Trench Depth(Over 60 Inches Must be shored. NO SLOPING OR BENCHING) If bell or existing fitting is within 1 Foot of Installation location Verify with Authority it is allowed. Blue Water Requires 1 foot between Bell or fitting and installation minimum. List Municipality/Governing Body/Owner of Exisiting Line Inspector/Governing Body Contact Name & Number Inspector/Governing Body Contact Email Address How Close will Blue Water Truck be able to get to Installation Location in Feet Location of Installation/Address * Onsite Excavation Contact Name /Email / Phone Number Notes Line Check Box to receive Text Messages concerning the Installation. Please call the BWCSI Scheduler at 610-779-9220 Ext 1 if an email is not received wihtin 24 hours from submission of this form. * Please Check Thank you! A email will be sent out to verify the Pre Job Report Submission in under 1 Business Day.