Midwestern Services, Inc - Aboveground Storage Tank Cleaning Services and Industrial Cleaning for API 653 Inspections/

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Please enter data in outlined boxes below.
The following information is needed to estimate tank cleaning costs. The more accurate and complete the information provided, the less "padding" is required by the estimator.
It is usually worth the time and effort to schedule a site visit for prospective tank cleaners to answer questions and discuss available options.
This form can be printed so the information can be collected at the tank site if needed.
Please put any questions, concerns, or special instructions in the Notes section at the bottom. Fax or e-mail the form and an estimate will be calculated.

Contact Information

Full Name:

Company Name:

E-mail:

Phone Number:

Fax Number:

City, State & Zip Code:

Tank Location:

Facility Name:

Tank Number:

Tank Size

Capacity (in bbls):

Diameter (In Feet):

Height (In Feet):

Barrels per Foot:

Barrels per Inch:

Product Information

Type of Product:

Depth (In Inches):

Barrels in the Tank:

Rate Consistency of
Tank Bottoms
(1 light to 10 heavy):
See chart >

1-2: Light Products (i.e gas, diesel, jet fuel)
3-4: Light Crude Bottoms
5-7: Medium Crude Bottoms
8-9: Heavy Oil Sludge (i.e Mayan, Waxy, etc.)
10: Requires Shoveling, Cutter, or Heat

Is the Product Pumpable?:

Yes No

Destination of Bottoms:

Roof Information

Type of Roof:

Condition of Roof:

Collapsed Roof? (Yes/No):

Yes No

Roof Leg Height (in Feet):

Product Access

Number of Shell Manways:

Size of Manways:

Cut Door Sheet if Needed?

Yes No

Replace Door Sheet?

Yes No

Number & Size 0f Valves:

Tank Floor

Flat or Coned (Up or Down):

Type of Coating:

Number of Sumps:

Safety Requirements

Will Customer Isolate the Tank?

Yes No

Will We Need Supplied Air?

Yes No

Or Cartridge Respirators?

Yes No

Special Safety Requirements?

(List any special Concerns in the Notes section below)

Equipment Accessibility

Cut Dikewall for Equipment Access?

Yes No

Is Diked Area Standing Water or Muddy?

Will We Need to Build Road or Lay Mats?

Feet of Hose Required (Outside Tank):

Special Connections Needed?

Yes No

Additional Comments