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Casing Fill Project Questionnaire


Information which Corrosion Control Products Company and
Trenton must have to successfully plan a Casing Fill Project.

1. Contact Information

Name

Title

Company

Street Address

City, State, Zip

Phone

Email
 
2. Jobsite Location

City

State
 
3. Casing Type Information Carrier OD x Casing ID x Length Number of Casings

Casing 1

Casing 2

Casing 3
 
4. Casing Short Information

Is the casing shorted? Yes , or No?

If yes, do you think the short is water based , metallic based , or unknown ?
Please note that filling the casing may or may not clear the short.
 
5. Vent Configuration, Type & Size
Top & Bottom Vents
Two Top Vents
Side Vents
One Vent
    Top vent location: N, S, E, W
    Bottom vent location: N, S, E, W
 
6. Seals and Spacers Installed or Planned
Link-Seal (e.g. LS Model C-EPDM)  
Rubber boot or wrap-around seal (please specify)
Trenton End-Seal  
Other seal (please specify)
  Spacers installed or planned
  Spacer quantity and model
 
7. Pressure Test Results

Pressure held lbs for minutes. (Recommended is 5 lbs for 15 min max.)
 
8. Carrier Pipe Information

Maximum carrier pipe temperature

 °F

Coating type (specify)
 
9. Access to Jobsite
Off road. If so, how far? miles
Shoulder of road.  
  How close can we get to the top vent? < 50', > 50'
  How close can we get to the bottom vent? < 50', > 50'
  Are there sharp turns? Yes, No
  Can a long tanker (e.g., 50 ft) get access backing in or otherwise? Yes, No
  Are there any special situations that we need to know about access such as on a bridge, under a bridge, near a creek or river, etc.? If yes, please describe below: Yes, No
 
 
10. Special Equipment & Safety

Will “Special Equipment” or on-site safety training be required? (special fittings, PPE, rubber boots, H2S monitors, etc). Trenton’s standard PPE includes work boots, heat resistant gloves, protective glasses, hard hats and vests. We carry FRC clothing and steel toes if specified.

 Yes, No
 
 
11. Casing Fill Hose

Casing fill hose length required (estimated to attach to bottom vent).

 feet.
 
12. Traffic Control Needed?
Yes (contractor will be asked to supply personnel).
No
 
13. Contractor Selected?

Will you have you selected a contractor to prepare the casings?

 Yes, No

Please identify the contractor if known.
 
14. Lodging Recommendations

Names of nearby lodgings.
 
15. Field Contact / Inspector Information

Name

Office phone

Cell phone

Printing and faxing this form. We suggest that you also print your filled-out form for your records, and fax a copy to Corrosion Control Products Company at 310-532-1472.

 

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Corrosion Control Products Company
800-421-2623

Tel: 

 310-532-9314
Fax:  310-532-1472

1480 West Artesia Blvd., Gardena, CA 90248-3215, USA
 www.ccpco.com

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