SANIPOR® - Questionnaires
Client
- Client´s Name:
- _________________________________________________
- Address:
- _________________________________________________
- Telefon/Fax:
- _________________________________________________
- Project manager:
- _________________________________________________
- Project adress:
- _________________________________________________
- General questions for preparation of Sanipor® contracts and proposals
- 1. Details of main sewer:
- Type of sewer:
- Number of Mainline Sections:
- Storm / sewage / combined
- _____________________
- Number of Mainline Sections: _______
- 1. Length: ____________ feetˇˇˇ ID: ____________ inchˇˇˇ Material: ____________ No:________
- 2. Length: ____________ feetˇˇˇ ID: ____________ inchˇˇˇ Material: ____________ No:________
- 3. Length: ____________ feetˇˇˇ ID: ____________ inchˇˇˇ Material: ____________ No:________
- 4. Length: ____________ feetˇˇˇ ID: ____________ inchˇˇˇ Material: ____________ No:________
- Number of Manholes: _________
- 1. Depth: ____________ feetˇˇˇ ID: ____________ inchˇˇˇ Material: ____________
- 2. Depth: ____________ feetˇˇˇ ID: ____________ inchˇˇˇ Material: ____________
- 3. Depth: ____________ feetˇˇˇ ID: ____________ inchˇˇˇ Material: ____________
- 4. Depth: ____________ feetˇˇˇ ID: ____________ inchˇˇˇ Material: ____________
- Number of Lateral connections:__________
- Is there any cleanout / inspection chamber? yes / no
- 1. Length: _________ feetˇˇˇ House # _____ ID: ___________inchˇˇˇMaterial: __________
- 2. Length: _________ feetˇˇˇ House # _____ ID: ___________inchˇˇˇMaterial: __________
- 3. Length: _________ feetˇˇˇ House # _____ ID: ___________inchˇˇˇMaterial: __________
- * to be sealed between M=main, I=inspektion chamber, C=cellar
2. Data of Laterals which are or are not visible on the drawings:
- Are there cleanouts installed? yes / no
- Are there old lateral connections to former septic tanks?
- Are lateral CCTV videos available?
- Structural condition of the laterals?
- Where are the clenouts? At the property line or at the house?
- Are there basements in the houses?
- Are there cleanouts/gullies in the basements and are they accessable?
- 3. Is there any closed / hidden / asphalted / not available cleanouts and or manholes?
- 4. Position of the other public utility lines in the close neighbourhood:
gas / water / electric cable / telecom cable / storm sewer / septic tank / utility tunnel
- 5. Soil: mock / sand / clay / coral/ gravel / limerock / shell / silt other:
- 6. Backfilled layers:
- 7. Is the pipeline to be sealed surrounded totally or in part with cast concrete?
-
- If yes how thick the concrete sleeve is?
- 8. Location of pipeline to be sealed:
street / building / sidewalk / garden / park / industrial / other:
- 9. Date of the latest CCTV record: CCTV records of laterals:
- 10. Details of the latest drop test:
- Rate of water drop ( liter / min. ):
- 11. Classification of the technical state of the pipeline:
- 12. Water table details:
- Water table level:
- If moving stream speed:
- Is it tidaly influenced?
- Salinity?
- 13. Sewage flow rate ( Q = CUM/sec or GPM ):
- 14. Is it necessary to by pass the line during work? yes / no
- 15. Is infiltration of water visible? Dripper/Runner/Gusher?
- 16. Traffic conditions:
- Night shift ( necessary / allowed )?
- Traffic diversion ( full / half lane with traffic lights ) is necessary ?
- If yes permit procedures:
- May road tankers be positioned right beside manholes?
- 17. Is fire hydrant available ?
- How far from manhole?
- 18.Ownership of laterals? Private/ municipal: full length/ till property line?
- 19. Have the mainlines got CIPP?
- Date: _________________________
Signature: _________________________