QUOTE

Your Name
Company Name
Company Address
Phone Number
Your Email

PROJECT INFORMATION
Site Location/Address
Quote Due By (yyyy-mm-dd)
Estimated Start Date (yyyy-mm-dd)

All above fields required.

DRILL METHOD (pick one from dropdown list) Air Rotary Casing HammerDirect Air RotaryStratex / TubexDown Hole HammerDirect Mud RotaryDual RotaryDual Tube Reverse RotaryLarge Diameter Reverse RotarySonicHollow Stem AugerDual Wall Air RotaryNQ CoringVacuum/Air KnifeWell Dev./Aband.Pump Installation
(number of)
Borings    Depth (in feet)  Split Spoons
Wells    Depth (in feet)  Split Spoons

WELL CONSTRUCTION
Diameter2"4"6"8"Other
MaterialPVCSteelStainlessOther
Screen   Length   Slot Size   Casing Length
Gravel Pack   Length   Size #310x208x126x9Other
Bentonite Seal   Length   Type PelletsChips
Grout   Length   Type Neat CementCement BentoniteBentonite
Surface Completion   Pad Size   Vault Size8"12"18"24"Other
Monument Cover4"6"8"10"Other
Steel Protective PostsYesNo
Locking CapsYesNo
Driller Supplies LocksYesNo

SURFACE TYPE (number of)
Concrete Borings Wells
Asphalt Borings Wells
Unpaved Borings Wells

CUTTINGS/WASTEWATER HANDLING
SoilDrumsVisqueenRoll-Off
WaterDrumsTank
Decon required?YesNo
Driller to develop wells?YesNo  / SurgeSurge BailPump

ONSITE UTILITIES
ElectricYesNo
WaterYesNo

OSHA LevelABCD
Additional Notes

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