Your Name (required)
Email Address (required)
Phone Number (required)
Best way to contact you EmailPhone
Address
City & State
Zip Code
Date well originally drilled
Type of formation (please describe)
Hole size
Casing size
Type of casing material
Type of screen (slotted, wire wrap, cut)
Screen length
Screen location
Well depth
Pump depth
Volume of well when first put on pump
Volume of well currently (GPM)
Standing fluid depth (feet of fluid in casing)
Pumping fluid level (feet of fluid in hole after continuous pumping for at least an hour)
Additional comments
