Estimate Request

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Date Of Request:
Date Estimate Needed:
Anticipated Start Date:
Requested By:
Company:*
Contact Phone #: *
Project Name:
Project Location:
Siteplan/Boring Location Detail: Faxed Emailed N/A
Number Of Borings
Estimated Overburden Depth: Minimumft    Maximumft
Anticipated Overburden Type:
Surface Exposure Thickness # Of Borings
    Natural/None N/A
    Gravel
    Asphalt
    Concrete W/O Rebar
    Concrete W/ Rebar
    Boulder/Rip Rap
Anticipated Access: Dozer Required? Yes No
Difficult Drilling Techniques Anticipated? Yes No  
Core Drilling? Yes No Size? NX NQ PQ HQ
Rock Drilling? Yes No If Yes, Air Water Size? 4" 6" 8"
Total Overburden Footage:
Total Rock Footage:
Availability of Water: Distance
Soil Sampling:
SPT's Yes No Interval
UD's Yes No Interval
Bulk/Bags Yes No Interval
Piston/UD's Yes No Interval
Vane Shear Yes No Interval
Environmental Requirements: PPE:
Decontamination Protocol: Site Entry Between Borings Site Exit
Reclamation Requirements: Seed/Straw Water Breaks Grout Boreholes
Asphalt Patch Concrete Patch Other
Instrumentation: Yes No If yes, provide installation details below
Boring No.(s)
Location
Ground Surface Elevation
Terminal Depth
Well/Piezometer Material
Well/Piezometer I.D.
Screen Interval
Bentonite Interval
Protective Cover
Undisturbed Piston Samples
Note Deptsh
Field Vane Shear Tests
Continuous Shelby Tube
Sampling
Large Bag Samples
Rock Core
Pressure Test
Piezometer(s)
PN or STD
Inclinometer(s)
Extensometer(s)
Anchor Elevation
Remarks: