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Thank you for taking a moment to see how Drilex may be able to serve you. We take pride in providing excellent service, both in the field and in the office, all while offering extremely competitive pricing. Please take a moment to fill out the form below, and we will get back to you right away to discuss your project further.

Contact Information
Company:
Email Address*:
Phone:
Website:
Fax Number:
Method of Reply:Fax   Email   Phone
Contact*:
Date of Request*:
Site Information
Site Identification:
Address*:
City*:
State*:
Zip:
Nearest Intersecting Street:
Job Details
Start Date:
Estimated Duration:
Start Time:
Type of Rig Requested:
Depth to G. W.:
Depth to Bedrock:
Pre-cleaning Required :
Air-Vacuum Excavator:
Subsurface Description, (if available):
Well Information
Number of Wells:
Number of Additional Borings:
Well Type: PVC  Stainless Other
Well Diameter:
Depth of Wells/Borings:
Screen Length:
Screen Slot Size:
Sand Size:
Grout Footage Per Well:
Manhole/Size Type:
2' x 2' Concrete Pad:
Air Hammer Required: Yes  No
Air Hammer Size: 3"   6"   9"
Rock Coring Required: Yes  No
Rock Core Size: NX=2"  HV=3.5"
Additional Details
Additional Requirements:
DOT Drums:
Police Detail:
Poly Sheeting:
Permitting:
Steam Cleaning on Site:
Other

Special/Other Requirements:
Drilex Environmental, Inc | Hartwell Business Park 127 Hartwell Street Suite 2 West Boylston, MA 01583
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