Request a Cost Estimate
Name:
Title:
Company:
Address 1:
Address 2:
City:
State:
____
AL
AK
AR
AZ
CA
CO
CT
DE
FL
GA
HI
ID
IA
IL
IN
KS
KY
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MD
ME
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MT
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OR
PA
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SC
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Phone:
Fax:
E-mail:
PROJECT INFORMATION
Est. Project Start Date:
Project Name:
Project Address:
City:
Proj. State:
____
AL
AK
AR
AZ
CA
CO
CT
DE
FL
GA
HI
ID
IA
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NV
NH
NJ
NM
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WI
WV
WY
SITE CONDITIONS
Site Environment:
Access:
Surface:
________
Concrete
Asphalt
Grassy Area
Unknown
Depth to Water:
BORING INFORMATION
Type:
Preferred Rig Type:
____________
Hollow Stem
Air Rotary
Mud Rotary
Geoprobe
Sonic Rig
QTY:
Intervals (ft):
Grout Method:
___________
Tremie
Top Down
Sampling Type:
WELL INFORMATION
Type:
QTY:
Size:
Slot:
Filter:
Caps:
Depth:
Screen Interval:
Installation Method:
Grout Type:
Well Seal:
Development:
DECONTAMINATION
Safety Level:
__________
Level-C
Level-D
Modified
Decon:
___
Yes
No
Equipment:
__________________
Visqueen
Drum
Discharge on Ground
IDW:
_________
Transport on Site
Drum on Site
Waste Disposal
# of Drums:
Special Instructions:
OTHER
Concrete Coring:
___
Yes
No
Number of Cores:
Hand-Augering needed for Utility clearance?:
___
Yes
No
Additional Project Information:
To contact us:
Universal Drilling Services of Texas, LLC
Statewide Drilling Services
About Us
Phone: 800-900-0280
Fax: 713-979-3908
E-mail:
sstrohl@cbeyond.com
