Proposal Addressed To:
*Name:
*Company:
Street:
City:
State:
Zip:
*Phone:
Fax:
E-Mail:
Site Name:

Contaminant Summary:
Types of Contamination:		Soil Type:
Plume Dimensions:		Time Available:
Soil TPH Levels:		Closure Levels-Soil:
Groundwater Levels:		Closure Levels Groundwater:
Other Information on Contaminant:
Site Details:
Is Water Available?		When can we start:
Landfarm sites: Is soil excavated?		Area available for cell:
Other site information:
Suggested Method of Treatment:
Bid to Include:
Permit (specify):		Soil Type:
Lab Fees:		Monitoring & Closure Reports:
Equipment provided by client:
Other Cost Considerations:
Urgency:
Site under citation from regulatory agency?
How will cleanup be paid for?
Expected Start Date?