Sub Surface Form

Sub Surface Utility Locating Questionnaire

Company Name:*

Accounting Email:

Company Telephone Number:*

Project Name:*

Project Address:*

Name of Person or Company Representative Requesting Quote*

Direct Number:*

Company Representative's Email:*

Job Scope / Work Limits (Work Area Outlined) Please Provide Attachment / Exhibit, or Google Earth snapshot.

Drop files or click to Choose File to Upload (jpg, jpeg, png, pdf, docx)
Job Type:
PrivatePW (Public Works)
Traffic Control Required:
YesNoTBD
Type of Facility (please specify)

Jobsite As-builts, Site Plans, Maps?
YesNo
Target Utilities:
AllElectricGasWaterSewerStorm DrainComms.Other/s:

Will work area access be provided:
YesNo
(Including but not limited to: Locked Utility Structures, Utility Rooms & Cabinets, Gates, Fences, Transformers, Locked Compartments, Vehicle Parking Area, Construction Equipment not blocking Work Area, and clearing anything that would prevent Investigation.)
Facility access requirements:
(What type?)

Badging
Will onsite training or orientation be required?
YesNo
If yes, how many hours?

Is jobsite access fee required?
YesNo
(Other:)

Do markings need to be removed?
YesNo
Note: Marking Removal is a Separate fee.

Exhibit of work area is required in order to receive quote & also to reference on bid proposal.

Client proposed work(please specify):

Digging:
YesNo
If yes, call 811 before digging (CA Law Requirement).
Will your company be responsible for payment:
YesNo
Then who:

Utility Mapping

Utility Mapping (Utility Line-Data Collection) required:
YesNo
Will as-builts, site maps or history of proposed work area be provided?
YesNo
What type of deliverable do you need:
A - AutoCAD, DWG File, W/ PDF MapB - KMZ or KML (Optional)C - Basemap Created of Jobsite W/ UtilitiesD - On-site Field SketchE - PDF Map Only
Client will provide basefile on:
TOPOCAD FilePDF FileNoneOther

Expedited Mapping (Rush Fee will apply):
YesNo

Special Instructions

Write instructions below: