CPS Data Sheet Form – HYDRA TMDL Systems LLC

Connecting Pipe Screen Data Sheet

Name:

Email:

Date:

Catch Basin ID:

Primary Street:

Cross Street:

Location

Grate

Yes No

Comments:

Catch Basin Height:

Length:

Width:

Exit Pipe Height:

Exit Pipe Width:

Exit Pipe Location in Catch Basin

CPS Shape:

U L Custom