Precaster:		Contact:		Date:
Project:		Contractor:		PO#:
Special Instructions:

TAKE OFF & ORDER SHEET FOR GU MANHOLE LINERS

MANHOLE#:

Diameter:

Wall

5"

8"

Main channel invert diff:*

inch

Standard:

Yes

No

RIM ELEV.:

	Degree	Invert Elev*	Slope*%	Type	Class	Size
Pipe Outlet	0°							Standard
Pipe Inlet							Channel *	Yes	No
1st Lat/Pipe
2ndLat/Pipe
3rd Lat/Pipe

* without information, GU manufactures to GU standard

GU BASE LINER CONFIGURATION:

Skirt return elevation '   main channel outlet elevation '   x = Difference ' ''       6'' outlet to standard skirt return 11.5" 8'' outlet to standard skirt return 13.5" 10'' outlet to standard skirt return 15.5" 12'' outlet to standard skirt return 7.5"           Diff from standard skirt to extend skirt ''

x =

Hole 1 Hole 2 Hole 3 Hole 4 Deg. a Dia. Deg. b Dia. Deg. c Dia. Deg. d Dia. GU BARREL LINER

Riser

ht

Hole 1

Hole 2

Hole 3

Hole 4

Deg.

a

Dia.

Deg.

b

Dia.

Deg.

c

Dia.

Deg.

d

Dia.

1st

2nd

3rd

4th

GU ECCENTRIC CONE:	Qty: Type:	GU CONCENTRIC CONE:	Qty: Type:
GU FLAT TOP:	Qty: Type:	GU PIPE BOWL:	Qty: Type:
GU GRADE RING:	Qty: Type:
GU BRICK ADJUSTMENT COLLAR:	Qty: Type:
GU BARREL ADJUSTMENT COLLAR:	Qty: Type:
GU CONVERTIBLE COLLAR:	Qty: Type: