Potable Divers INC
PO Box 474
Vernal UT 84078-0474
Toll Free 866-789-3483
(602) 920-9438
FAX # (866) 913-4905
CONTACT
service@potabledivers.com
Request More Information
Your Name:
Your E-mail Address:
Your Phone Number:
City or District Name:
Address:
City:
State:
Zip Code
Fax:
Anticipated work date:
Type of work:
INSPECTION
CLEANING
 REPAIR
Truck and Trailer
accessible:
YES
NO
NO
YES
Exterior Ladder:
NO
YES
Interior Ladder:
NO
Min. 24 inch hatchway:
 YES
Width and Length or
Diameter of Tank
Height or Depth of
Tank
Type of Tank:
 Below Grade
Elevated
Ground
Tank Material (all that apply)
Steel
Concrete

 Other
Welded
Bolted
Rivited
Volume of tank (Gallons)
Average depth of Water in
Tank:
Cathodic protection system:
YES
 NO
Would you like a free DVD, or
CD ROM demo.
YES
NO
Comments: