TTTCA INFORMATIONAL SURVEY
We are sending the enclosed survey to you to help update our records. Please take the time to fill it out completely.
Part I is home office information.
Part II is a summary of services provided.
Part III is details about branch offices and terminals.
Part IV is a request for general information, including information specific for TTTCA.
Thank you for participating in this important survey. Your cooperation will make certain that the association provides services that benefit its members.
PART I: HOME OFFICE INFORMATION:
A. NAME AND ADDRESS: Please provide official name of company and address of home office.
Company Name
Street Address
Street Zip Code
P. O. Box
P. O. Box Zip Code
City
State
B. TELEPHONE NUMBERS, E-MAIL, WEB SITE:
Home Office Regular Number ( )
800 WATS (800)
FAX Number ( )
E-Mail Addresses, Key people
Web Site Address
Other: ( )
PART I: HOME OFFICE INFORMATION (CONTINUED):
C. COMPANY OFFICERS:
NAME TITLE
NAME TITLE
NAME TITLE
NAME TITLE
NAME TITLE
NAME TITLE
NAME TITLE
D. PERSONNEL:
1. Traffic (Traffic Manager, etc.)
NAME TITLE
NAME TITLE
NAME TITLE
2. Safety, Quality and Maintenance
NAME TITLE
NAME TITLE
NAME TITLE
NAME TITLE
NAME TITLE
PART I: HOME OFFICE INFORMATION (CONTINUED):
3. Insurance
NAME TITLE
NAME TITLE
4. Data Processing
NAME TITLE
NAME TITLE
5. Accounting (Comptroller, etc.)
NAME TITLE
NAME TITLE
6. Other (please specify)
NAME TITLE
NAME TITLE
NAME TITLE
NAME TITLE
NAME TITLE
NAME TITLE
NAME TITLE
NAME TITLE
PART II: SERVICES PROVIDED:
A. SUMMARY OF SERVICES PROVIDED:
Please include general products. (If more space is needed, please use an extra sheet.)
1. INTRASTATE TEXAS
Asphalt
Chemicals
Dry Commodities in Bulk
Hazardous Waste
Petroleum and Petroleum Products
Other
(Please use an extra sheet if more is needed.)
2. INTERSTATE:
Please include general products. (If more space is needed, please use an extra sheet.)
Asphalt
Chemicals
Dry Commodities in Bulk
Hazardous Waste
Petroleum and Petroleum Products
Other
(Please use an extra sheet if more is needed.)
B. EQUIPMENT OPERATED:
Please describe the major types of equipment your company uses.
PART II: SERVICES PROVIDED (CONTINUED):
C. SCOPE OF TANK TRUCK OPERATIONS:
1. International: Canada ______ Mexico ______
2. United States. Please check those states for which your company operates:
Alabama Louisiana Ohio
Alaska Maine Oklahoma
Arizona Maryland Oregon
Arkansas Massachusetts Pennsylvania
California Michigan Rhode Island
Colorado Minnesota South Carolina
Connecticut Mississippi South Dakota
Delaware Missouri Tennessee
Florida Montana Texas
Georgia Nebraska Utah
Hawaii Nevada Vermont
Idaho New Hampshire Virginia
Illinois New Jersey Washington
Indiana New Mexico West Virginia
Iowa New York Wisconsin
Kansas North Carolina Wyoming
Kentucky North Dakota
PART III: BRANCH OFFICE, TERMINALS
Space has been provided for four branch offices or terminals. (If more space is needed, attach a separate sheet, but please make sure that all information below is included.)
1. Street Address
Street Zip Code
P. O. Box
P. O. Box Zip Code
City
State
Main Number ( )
WATS (800)
FAX Machine ( )
Officers or managers of branch. You may list any personnel you wish.
NAME: TITLE:
2. Street Address
Street Zip Code
P. O. Box
P. O. Box Zip Code
City
State
Main Number ( )
WATS (800)
FAX Machine ( )
Officers or managers of branch. You may list any personnel you wish.
NAME: TITLE:
PART III: BRANCH OFFICE, TERMINALS (CONTINUED)
3. Street Address
Street Zip Code
P. O. Box
P. O. Box Zip Code
City
State
Main Number ( )
WATS (800)
FAX Machine ( )
Officers or managers of branch. You may list any personnel you wish.
NAME: TITLE:
4. Street Address
Street Zip Code
P. O. Box
P. O. Box Zip Code
City
State
Main Number ( )
WATS (800)
FAX Machine ( )
Officers or managers of branch. You may list any personnel you wish.
NAME: TITLE:
(Please use an extra sheet if more room is needed.)
PART IV: GENERAL INFORMATION
A. COMMITTEE QUESTIONS:
1. Please list the TTTCA Committees in which your company is interested, AND the person in your company you would like to have on the committee.
ASSOCIATES COMMITTEE
CEMENT COMMITTEE
CRUDE OIL COMMITTEE
HAZARDOUS WASTE COMMITTEE
LEGAL and LEGISLATIVE OVERSIGHT COMMITTEE
MEMBERSHIP COMMITTEE
SAFETY, MAINTENANCE AND QUALITY COMMITTEE
TRADE SHOWS COMMITTEE
2. Please give suggestions for Committee activities.
B. GENERAL QUESTIONS:
1. Please give suggestions for TTTCA activities.
PART IV: GENERAL INFORMATION (CONTINUED)
2. Please give suggestions for the format and topics of the TTTCA Annual Meeting and Quarterly Meetings.
3. Please give suggestions for improvement or expansions of Newsletters and other Publications.
4. Please give suggestions for Seminar Topics.
5. Please give suggestions for Guest Speakers.
C. COMPANY HISTORY:
1. Give a Brief History of the company:
(For example, when it was established, who established it, etc. Please add as many sheets as necessary, and include any preprinted company brochures or information. Thank you.)
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