Company Name *
Contact Name *
E-Mail *
Phone number *
Project Location
Completion Date
What kind of structure was involved with this project (pipe, tank, manhole, etc.)?
Owner
Engineer
Applicator
Additional parties involved
What Epoxytec/Tnemec product(s) was used for this application?
In the past, have you used similar products to the aforementioned? How did these products compare to other comparable products you have used in the past? What led you to search for alternative solutions?:
What was the thickness of the product application?
Describe the reason(s) for rehabilitation and decision to use Epoxytec products?
Material of the structure (steel, concrete) & dimensions?
Condition of structure prior to application?
Describe the surface preparation.
Describe the application process.
Were there any unusual factors, unique time constraints, etc? Did the weather affect the job?
Duration of project.
Testimonials (include name, job title and contact information):
Additional comments & notes: