| Title: |
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| First Name: |
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| Last Name: |
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| Company: |
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| Email Address:* |
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| Mobile or Phone Number: |
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| Location: |
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| Type of work: |
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| Intended month for start of work: |
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| Estimated duration of project (days:) |
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| Approximate number of boreholes: |
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| Aggregate depth of boreholes: |
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| Expected geology: |
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| Soil Drilling: |
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| Sampling method: |
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| Rock drilling: |
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| Monitoring wells: |
Yes No |
| Number of wells (if yes to above): |
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| Screen and casing diameter: |
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| Well protection: |
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| Backfill: |
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| Disposal of drill water: |
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| Beginning of Borehole |
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| Will concrete coring be required? |
Yes No |
| Will non-destructive digging be required? |
Yes No |
| If so, to what approximate depth shall the non-destructive digging be required? |
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| Rig |
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| Is there a particular rig you would prefer? |
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| Optional Equipment Required |
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| Wet Vac |
Compressor |
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| Generator |
1000 Litre Water Tank |
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| Grout Unit |
3000 Litre Water Tank |
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| Lighting Unit |
Packer Testing |
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| Decontamination Unit |
Exhaust Fans |
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| Additional comments: |
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Please copy the security code below before sending:*
(all uppercase, no spaces)
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