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Yellow Jacket Drilling Quote Request
Client Information
Your Name:
Company Name:
Company Address:
Phone Number:
Fax Number:
Email Address:
Project Information
Site Location / Address:
Quote Due By:
Estimated Start Date:
Drill Method
Auger Truck     Auger Track     Auger Limited Access     Air Rotary
Number of Borings
Depth:(in feet) Split Spoons:
Number of Wells
Depth:(in feet) Split Spoons:
Well Construction
Diameter: 2 "      4 "      6 "      8 "      Other

Material: PVC      Steel      Stainless      Other

Screen Length: Slot Size: Casing Length:

Gravel Pack:
Length:    Size: #3   10x20   8x12   6x9   Other

Bentonite Seal: Length:    Type: Pellets   Chips

Grout: Length:   Type: Neat Cement   Cement Bentonite   Bentonite

Surface Completion:
Pad Size:   Vault Size: 8”   12”  18”  24”   Other

Monument Cover: 4”   6”   8”   10”   Other

Steel Protective Posts: Yes    No

Locking Caps: Yes    No

Driller Supplies Locks: Yes    No

Surface Type Number of Borings Number of Wells
Concrete:
Asphalt:
Unpaved:
Handling of cuttings and wastewater
Soil:
Drums Visqueen Roll-Off
Water:
Drums Tank
Decon required? Yes    No
Driller to develop wells? Yes    No    /    Surge    Surge Bail    Pump
Onsite Utilities Available
Electric: Yes No
Water: Yes No
OSHA Level:
A B C D
Addtional Notes:
Copyright © 2007 Yellow Jacket Drilling Services. All rights reserved. Website By: Lifestyles Media Group

P.O. Box 801 Gilbert, Arizona  85299    Ph:602-453-3252    Fax: 602-453-3258