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SITE EVALUATION

At SRS, we understand that your time is valuable. Our Site Evaluation Form, below, is designed to help our team identify your site conditions from an initial scope perspective. Please complete as many fields as possible so that we may efficiently assist you. Once your completed form is submitted, an SRS representative will contact you with a FREE assessment which includes remediation options.

Site Evaluation Form
Please complete the form below:
Project Name:
Location:
Address:
City:
State:
Contact Person:
Telephone:
Email:
Clean Up Goal:
Source of Release:
Constituents of Concern (COCs) 1: (eg, BTEX, MTBE, PCP, etc..)
Average Concentration of COCs (mg/Kg):
Constituents of Concern (COCs) 2:
Average Concentration of COCs (mg/Kg):
Constituents of Concern (COCs) 3:
Average Concentration of COCs (mg/Kg):
Constituents of Concern (COCs) 4:
Average Concentration of COCs (mg/Kg):
Size of Impact Zone (sq. ft.):
Thickness of Impacted Zone (ft):
Soil Profile:
Depth to Groundwater:
Fluctuation in depth to Groundwater:
Hydraulic Gradient:
Total Organic Carbon (mg/kg):
Background Dissolved Oxygen (mg/L):
Comments:

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