Drop Bury Intake
Granite International Group • Drop Bury Submission
Only use if context forms does not work
Technician & Job
Technician Name
*
Tech Number
*
Job Number (6 digits)
*
Account Number
*
Customer Information
Customer Name
*
Phone Number
*
Address
*
City
*
State
*
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Work Details
Bury Reason
*
Select…
Trouble Call/CLI
New Connect/Reconnect
Pre Bury Residential
Pre Bury Commercial
Customer Request
Other
Other Reason
*
Dwelling Type
*
Select…
Single Family
Duplex/Town House
Apartment Complex
Mobile Home
Other
Other Dwelling
*
Site Conditions
Customer Present?
*
Yes
No
Private Utilities?
*
Yes
No
Invisible Fence?
*
Yes
No
Electrical to Outbuildings?
*
Yes
No
Neighbor Utilities?
*
Yes
No
Sprinkler System?
*
Yes
No
Landscape Lighting?
*
Yes
No
Septic Field?
*
Yes
No
Drain Tile Field?
*
Yes
No
Sump Pump Drains?
*
Yes
No
Fenced Yard?
*
Yes
No
Dirt Lot?
*
Yes
No
Temp on Ground?
*
Yes
No
Temp Follows Route?
*
Yes
No
Street Bore?
*
Yes
No
Driveway Bore?
*
Yes
No
Sidewalk Bore?
*
Yes
No
Signal Levels
Levels at Ground Block
*
Levels at CPE
*
Measurements
Drop Footage
*
Bore Footage
Satellite Screenshot
Upload Marked Satellite Screenshot
*
Open Satellite View
Submit Drop Bury
Submission emails go to
granite.alabama@outlook.com
