Thanks for choosing Flow-Liner!

Please complete the following information form to the best of your knowledge. The more information our estimators have,the more accurate they will be and the quicker we can get you a quote. Once we receive your submission, we will send you an email confirming the receipt. At that time, please send us any prints, drawings, sketches or supporting documents that could be of use to us. We will include a Sharefile link if you indicated you have video.

This information form is specific to HVAC Duct Lining

Name

First Name

Last Name

Company or Municipality / Title

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Project Name

Project Site Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Mobile Phone

(###)

###

####

What material is the duct?

What issues are you having with the duct?

Underground water infiltration? Damaged or cracked? Corrosion & scale buildup?

Inside diameter?

Footage of pipe to be lined?

Is there video of the inside of the duct available?

Does the diameter of the duct change?

How many times does it transition? What diameter does it change to?

Number and size of branch connections in duct:

Number and type of bends in duct:

Max operating temperature of duct?

NOTE: cannot exceed 150F

What is the temperature entering the duct?

NOTE: cannot exceed 150F

What is the approximate depth of the duct?

Are there any protrusions or obstructions in the duct?

If yes, please describe type and how many?

Describe the access to the duct:

Is there access at both ends? or one end? What type of access? What is the size and depth of access area (approx.)?

Is the duct encased in concrete?

Does the duct run through any type of steel casing?

Is duct located under a load bearing transportation area such as roadway, parking area, railroad, etc.?

If YES, please describe:

Is the project prevailing wage? (a public funded project)

If YES, please provide rates:

What type of chemicals or materials are exposed to the inside of the duct?

Please provide SDS, if available.

Urgency of work needing scheduled:

If you have specific dates, please list them here:

Additional Information

Please add any additional information that was not covered by the questionnaire here:

Other contacts:

Please list Name/Title/Email or Phone number of other contacts we should have, if applicable

HVAC Project Information Form

Thanks for choosing Flow-Liner!

**This information form is specific to HVAC Duct Lining**

We Keep the World Flowing™

This information form is specific to HVAC Duct Lining