General Site Evaluation Form

If you have any questions, please contact Tracy Barton at 503-624-4959 or email.


Contact Information
	Last Name:	First Name:

	Name of Company or Organization:

	Address:

	City:	State/Prov:

	Postal Code:	Country:

	E-mail:

	Phone Number (U.S.):
	- - ext.
	International Phone:

	Mobile Number (U.S.):
	- -

	Marketing Survey Information
	Please help us evaluate our marketing efforts by answering the following two questions. Thank you.
	How did you first learn about TRS Group? Please check the most appropriate answer.

	Have you been contacted by a TRS Group employee or sales representative?
	No, I have not been contacted I would like to be contacted My primary TRS Group contact has been:

	Project Information
	Project Location
	City:	State/Prov:

	Treatment Area (sq. ft.):

	Average shallow extent of treatment (ft.):

	Average deep extent of treatment (ft.):

	Depth to water (ft.):

	Percentage (0-100%) of vapor transport piping that requires trenching:

	Guarantee:
	Yes No Both
	Specific contaminants (e.g.: TCE, PCE, benzene, etc.):

	Percentage Mass Reduction (99% is typical; could be 99.99% or more, if desired):

	Any additional information you wish to provide:

Personal:

Contact Information