Please provide the following contact information about yourself and your company:

            Name 
           Title 
    Organization 
  Street address 
 Address (cont.) 
            City 
  State/Province 
 Zip/Postal code 
         Country 
      Work Phone 
             FAX 
          E-mail 

What are the climate conditions? (Please choose one or more of the following.)

TEMPERATE   

TROPICAL       

ARCTIC            

What are the soil conditions? (Please choose one or more of the following.)

CLAY-LOAM   

SANDY   

ROCKY   

CLAY WITH SOME ROCK   

SAND WITH SOME ROCK   

SOLID ROCK (such as Caliche, Limestone, Granite, etc.) 

OTHER      If you select OTHER, please note in the space below what OTHER type                           of soil conditions will you be encountering?

How much trench is required? (Please specify feet, miles, meters or kilometers.)

What production rate is expected? (Please specify feet/minute, meters/minute, meters/hour, miles/hour or kilometers/hour.)

Are there any special requirements for spoil placement?

Yes No

If there are any special spoil placement requirements, please list them here:

Are there any special floatation requirements?

Yes No

If there are any special floatation requirements, please list them here:

Is side shifting of wheel required?

Yes No

Is tilting of wheel from vertical centerline required?

Yes No

Is this machine to be used for farm drainage?

Yes No

If the machine is to be used for farm drainage, please note which type of grade control system is required:

MANUAL MANUAL LASER AUTO LASER

If this machine is used for farm drainage, is tile reel required?

Yes No

Please note any other special requirements for this machine in the space below:

Please complete the following Trench Profile Data information based upon the sketch below, and include units such as inches(in), centmeters (cm), feet (ft) and meters (m):

P = OD of Pipe to be placed  

CB = Cushion Base below pipe 

W = Wall Clearance on either side of pipe 

C = Cover Depth above pipe 

D = Depth of Trench

Calculate (C + P + CB) 

TW = Trench Width  

Thank you for your time and effort in completing this form. A representative will contact you shortly with information on how The Cleveland Trencher Company can assist you with your trenching needs.