Request for Services | Eagle Drilling

Date Bid Request is Needed By

Email

Name

First Last

Company

Address

Street Address City State / Province / Region ZIP / Postal Code

Phone Number

Cell Phone Number or Alternate Phone Number

Project Name

Project No.

Project location

Street Address City State / Province / Region ZIP / Postal Code

Additional Location Information (ie. Parcel #, Facility ID, Cross Streets.....)

Is this a federally funded project?

Yes
No

Is this project subject to Davis-Bacon or Prevailing Wage?

Yes
No

Scope of Work

Drilling
Well Installation(s)
Well/Boring Abandonment
Other

Attachments (maps, etc)

Additional Attachments (maps, etc)

Date Services are Needed

Description of work

How many wells/borings are needed? Depth and diameter of well? Sample frequency? Cuttings containment? Approx. depth to water? Surface type? Expected contaminants?

Traffic control?

Yes
No

Is this project in a public right-of-way?

Yes
No

Overhead obstructions? If so, what are they?

Water/Electricity Available?

Yes
No

Soil type

Rig Preference

Truck Mounted
Track Mounted
Doesn't Matter

Air-Knife required?

Yes
No

USA Locate call in needed?

Yes
No

Additional information

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