PHT Failure – Drop Bury Please enable JavaScript in your browser to complete this form.Today's Date *Tech # *Work Area *Please SelectWPBWPBNJAXLCOPANTech # that placed the temp dropJob # *Account # *Customer Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDid a drop need to be buried? *YesNoWas there a temp drop? *YesNoPHT Before Drop Bury * Click or drag a file to this area to upload. PHT After Drop Bury * Click or drag a file to this area to upload. Submit