Instructions: Please provide as much information as possible on your project. This will
greatly assist us in preparing an accurate bid and minimize the number of calls between us.

I. Project Information
Engineering Firm/Client:
Contact Person:
Telephone:
Fax Number:
Email Address:
Project Name:
Location/Address:

Quote Needed by:
Timing for Project:


II. Soil Borings
Quantity:
 None (skip to next section)
Depth:
Soil Sampling Interval: 5' Continuous Other :
Notes on Soil Sampling:
Backfill Material: Bent. Chips Port.-Bent. Bent. Grout Native Soil
Containment:
 Drums Rolloff Stockpile


III. Groundwater & Vapor Wells
Number of Wells: None (skip to next section)
Type of Well:
 Groundwater Vapor Other
Diameter:
 2" 4" 6" Other
Depth:
 Ft.
Screen Interval:
 From: Ft.
 To: Ft.
Blank Casing:
 From: Ft.
 To: Ft.
Soil Sampling Interval:
 5' Continuous Other:
Notes on Soil Sampling:
Depth to Groundwater:
 Ft.
Slotted Casing Type:
 P.V.C Stainless Steel
Screen Size:
 .010 .020 .030 Other:
Blank Casing Type: P.V.C. Stainless Steel
Blank Casing:
 Sch. 40 Sch. 80 Other:
Filter Pack Material:
 Fine (#2/12, #2/16) #3 Course (Med Aquarium)
Backfill Material:
 Bent. Chips Port-Bent Bent Grout Other:
Containment:
 Drums Rolloff Stockpile Other:
Well Cap:
 Slip Cap Locking Plug
Well Box Size:
 8" 12" Other:
Well Box Type:
 EMCO Wheaton Morrison Other:
Well Box Mounting:
 Flush-Mount Locking Pad & Riser


IV. Well Development and Groundwater Sampling Services
Number of Wells:
 None (skip to next section)
Diameter:
 2" 4" 6"
Depth:
 Ft.
Depth to Groundwater:
 Ft.
Services Needed: Well Development Pumping Purging/Sampling
Purge Volumes: 3x 5x Other:
Supply Water Quality Meter:
 Yes No
Notes on Well Construction:
(screen interval, size, type)


V. Well Abandonment
Number of Wells: None (skip to next section)
Type of Well (circle):
 Groundwater Vapor
Diameter:
Depth:
 Ft.
Depth to Groundwater:
 Ft.
Method of Abandonment:
 Overdrilling & Removal Pressure Gouting
Backfill Material:
 Bent. Chips Port-Bent Bent. Gout Other:
Notes on Well Construction:
(screen interval, size, type)


VI. Equipment and Supplementary Services
Asphalt/Concrete Coring:
 Yes No
Quantity:
Hole Clearance with Air Vac:
 Yes No
Quantity:
Decontamination Trailer:
 Yes No
Bobcat:
 Yes No
Hand Augering:
 Yes No | Footage:
3rd Man:
Level:


VII. Miscellaneous
Estimated Days to Complete:
Hours/Access Limitations:
On-Site Lab:
 No Yes
Per Diem:
 No Yes
Equipment Storage On-Site:
 No Yes
Consultant to Provide:
If Other, then include it in the text field provided:
Quote Format:
 Footage Time & Materials Lump Sum
Other:
Type of Project:
 Private Gov't
MBE/DBE Requirements:
 No Yes
Prevailing Wages Required: No Yes
Other Companies Bidding: Gregg Drilling
West Hazmat
Cascade
THF
Tri-County
Beylik
Water Development
Lang
Layne
Other:
Referred to BC2 by:

Thank you for using our online Bid Request form. We will provide you a quote via fax or email. Please call Scott or Sam with any questions at 714-744-2990.

Note: This form is the property of BC2 Environmental Corp. and is intended solely for use between BC2 and its clients. Use of this form with any company other than BC2 Environmental is strictly prohibited.