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Equipment Request
Equipment Request
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GPS Rental Equipment
Equipment Request Form
*
Rent ON
Rent OFF
Needs Repair
Site Contact
*
Tony Anderson
Craig Aten
Miguel A Baca
Rafael Baca
Anthony Barrett
Steve Chapman
Roy Counts
Rusell Finch
John Danny Hayes SR
Evaristo Hernandez
Ronald Jones
Kelly Little
Shayne Morgan
James Scruggs
Chris Shell
Gregory Smith
Bruce Talley
Tinoco Galvan Antonio
Curtis Townsel
Michael White
Jorge Yanez
Foreman/ Proj. Engineers
*
Ian Bucaro (PE)
Don Wadsworth
Alexandra Harde (PE)
Tyler Carr (PE)
Evan Chapman(PE)
Matt Gottlieb (PE)
Christian Nolan (PE)
Nicolas Simon (PE)
James Byrd (Foreman)
Zachary Ehrlich(Foreman)
Eric Ferguson(Foreman)
Nick Harris(Foreman)
Jacob Jones(Foreman)
David Kilgore ( Foreman)
Emett Lane (Shop Foreman)
Arturo Ramirez ( Foreman)
David Ramirez (Foreman)
Bobby Redmond( Foreman)
Perfecto Rodriguez ( Foreman)
Date / Time
*
Date
Time
Name of Person Completing Form
*
Owned Equipment
*
Other
Owned
Rental
Owned Equipment
Equipment Make
*
Bell
Bobcat
Bomag
Case
Caterpillar
Chemgrout
Club Car
Dodge
Dynapac
Furukawa
Hino
Hitachi
Isuzu
JCB
John Deere
Kawasaki
Kenworth
Klein
Equipment Type
*
Other
Dozer
MotoGrader
Compactor
Excavator
Loader
Skidsteer
Telehandler
Dump Truck
Water Truck
Model
D3G Dozer
D5K Dozer
D6K Dozer
D6N Dozer
D6T Dozer
D8T Dozer
Model
120M Motograder
140M Motograder
CAT 12M2 Grader
Model
CS56B Compactor
CS66B Compactor
Model
308 Excavator
311 Excavator
323 Excavator
324 Excavator
326 Excavator
330 Excavator
336 Excavator
349 Excavator
352 Excavator
323LS Excavator
324LS Excavator
326LS Excavator
330LS Excavator
336LS Excavator
Model
930 Loader
938 Loader
950 Loader
966 Loader
972 Loader
Model
279 CAT Skid Steer
299 CAT Skid Steer
Model
6K Telehandler
10K Telehandler
Model
725C Off-road Dump Truck
730C2 Off-road Dump Truck
735 Off-road Dump Truck
740B Off-road Dump Truck
745C Off-road Dump Truck
Model
Water Truck 4000 gallons
Water Truck 5000 gallons
613 CWW 5000 gallons
621 CWW 8000 gallons
725 WW 5000 gallons
730 WW 5000 gallons
740 WW 9000 gallons
Hydrema 912WW
Rental Company
Ring Power
Neff
United
Flagler
Linder
Newman
Sunbelt
Equipment ID
*
Expected Off Rent/Transport Date
*
Pick Up Location Name
*
Pickup Location
*
Address Line 1
Address Line 2
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Detailed Delivery Instructions
GPS
Yes
No
Other
Notes
Attachments Needed
Yes
No
Other
Description
Drop Off Location
*
Drop Off Location Job Number
*
Drop Off Location
*
Address Line 1
Address Line 2
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Drop Off Instructions
Special notes or additions
Add anything not listed in options
File Upload
Click or drag a file to this area to upload.
Signature
Clear Signature
Submit
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Equipment Request Form
*
Rent ON
Rent OFF
Needs Repair
Project ENG/Foreman
*
Ian Bucaro
Don Wadsworth
Alexandra Harde
Site Contact
*
Ian Bucaro
Don Wadsworth
Alexandra Harde
Date / Time
*
Date
Time
Name of Person Completing Form
*
Owned Equipment
*
Owned
Rental
Owned Equipment
Equipment Make
*
Bell
Bobcat
Bomag
Case
Caterpillar
Chemgrout
Club Car
Dodge
Dynapac
Furukawa
Hino
Hitachi
Isuzu
JCB
John Deere
Kawasaki
Kenworth
Klein
Equipment Type
*
First Choice
Second Choice
Third Choice
Rental Company
Ring Power
Neff
United
Flagler
Linder
Newman
Sunbelt
Equipment ID
*
Expected Off Rent/Transport Date
*
Project Drop Name
Pick Up Location Name
*
Pickup Location
*
Address Line 1
Address Line 2
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Detailed Delivery Instructions
GPS
Yes
No
Other
Notes
Attachments Needed
Yes
No
Other
Description
Drop Off Location
*
Drop Off Location Job Number
*
Drop Off Location
*
Address Line 1
Address Line 2
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Drop Off Instructions
Special notes or additions
Add anything not listed in options
File Upload
Click or drag a file to this area to upload.
Signature
Clear Signature
Submit
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