Name of Project:

Your Email Adress:

Physical Address of Project/Lot #:

Closest Intersection/Key Map #:

Contact Person/Phone #:

Report/Invoice Mailing Address:

Type of Structure/Construction:

Approximate Building Plan Area (sq. ft.):

Current ground surface conditions (soft/hard/standing water):

Approx. distance of the site from downtown Houston:

Is Site Locked or Gated?
Yes
No

If yes, who is the contact person to obtain key or access code?

Are there any existing structures?
Yes
No

Is the site currently wooded?
Yes
No

Will the client stake the boring locations?
Yes
No

Are the boring locations accessible to a truck (7-ton/10' wide/15' clearance)?
Yes
No

Will concrete coring be required before drilling?
Yes
No

Is the site close to a drainage ditch or slope?
Yes
No

If so, please specify approx. depth: & distance:

Other Instructions: