Site Info. Sheet


	If you would like to know if DTI can assist you with you particular site, please fill in the information requested below as completely as possible. Include site maps, boring and monitoring well logs, strata graphics, analytical tables and photos if available. JPGs and PDF files are encouraged. All information will be handled and maintained as confidential.

All information should be directed to DTI Technical support group at tech@deepearthtech.com or by Fax:708-396-0111



		Consultant Information


	Company Name:


	Address:


	State:


	Zip Code:


	Person:


	Fax:


	Phone:


	email:


		Site Information


	Name:


	Address:


	City/St./Zip:


	Business Type:


	Urban


	Rural


	Active


	Inactive


		Contaminant Information


	Contaminant:


	Year release occurred:


	*Soil Data:*


	Concentration in Soil:


	(D)NAPL present:


	Soil type:


	Area

ft.


	by

ft.


	Total Sq. ft.


	Depth of Soil Source (fbgl):


	ft.


	to


	ft.


	Cubic Yards:


	*Groundwater Data:*


	Concentration in groundwater:


	Current Depth to GW (fbgl):


	Historic Fluctuation (fbgl):


	GW Plume:

ft.


	Total Sq. ft.


	Depth of GW Plume (fbgl):


	ft.


	to


	ft.


	Vertical Injection Interval


	to


	*Site Conditions:*


	Is the Treatment Area Paved:


	Yes


	No


	Concrete:


	Asphalt:


	Thickness:


	Electricity Available:


	Yes


	No


	Water Source:


	Yes


	No


	Hydrant


	Spigot


	Must haul-distance


	Treating Inside Building?


	Yes


	No


	Ceiling Height:


	Door Size:


	Height


	Width


	Work Hours:


	A.M.


	to


	P.M.


	Weekend Work Allowed?


	Yes


	No


	Night Work Allowed?


	Yes


	No

Additional Information

To aid DTI in determining the most appropriate remedial solution for your site, it is helpful to receive as much information as possible. This may be transmitted by mail, email or fax,however where possible we prefer to receive pdf or jpg because the quality is much better than faxed transmissions. We request the following where available.

Site Maps

Contaminant Tables

Boring Logs

Monitoring Well Logs

Site History

Pictures

List of permits required for injection work

Please provide any additional information you believe will be helpful.

Comments:


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