PROPOSAL/BUDGETARY ESTIMATE REQUEST FORM

To ensure ISOTEC may develop a proper estimate, accurate information pertaining to a site must be analyzed before understanding the issues that may affect job performance and cost. Please submit the requested information to assist in this process:

1.  All relevant information requested within this proposal

2.  Site boring logs / Drill logs

3.  Well Construction Log of typical well installed at Site

4.  Site map indicating area included in work scope (Please include buildings, utilities, and other obstructions)

5.  Site Conceptual Model

6.  Specification and Diagram of existing remediation systems

7.  COC List and Remediation Goals

8.  Recent laboratory analytical data

Client Information

Client Name:

Contact Information:

Site Name/ Address:

Environmental Consultant:

Consultant Information (Address, Phone, Fax, Email:

Fiscally Responsible Party:

Regulatory Agency:

Site Information

General Site Description:

Active Facility (yes/no):

Utilities present (please specify above/below ground):

Site Geology and Hydrology (please include average layer depths, corresponding hydraulic conductivity,

porosity, moisture content, dry density, etc.):

Groundwater Impacts:

Depth to Water Table:

Remediation Goal:

Time Table for Clean-Up:

Previous/On-Going Remediation at the site:

Surface Material at Site (concrete, asphalt, soil, field, etc.):

Deliverables Requested from ISOTEC:

Remediation Purpose (property sale, exposure risk, etc.):

Contaminant Plume Description

UNSATURATED/ VADOSE ZONE INFORMATION

General Soil Description:

Soil Total Organic Carbon (TOC) (ppm):

Plume Size: length (ft.): width (ft.): thickness (ft.):

Average Depth to Contamination (ft. bgs): Soil Density (lbs./cubic yd):

Contaminant(s) (please include name, source, history, mass estimate, NAPL, etc.):

Average/Maximum Concentration in Soil (mg/kg):

Target Cleanup Level:

SATURATED ZONE INFORMATION

Aquifer Description:

Average Depth to Water (ft. bgs): Porosity: % Water pH:

Hydraulic Conductivity (K; cm/sec): Hardness or Alkalinity (mg/L CaCO3):

Soil Total Organic Carbon (TOC) (ppm):

Plume Size: length (ft.): width (ft.): thickness (ft.):

Contaminant(s) (please include name, source, history, mass estimate, NAPL, etc.):

Average/Maximum Concentration in Groundwater (μg/L):

Average/Maximum Concentration in Saturated Soils (μg/kg):

Target Cleanup Levels:

NON AQUEOUS PHASE LIQUIDS (NAPLs) INFORMATION

Are NAPLs/ free phase observed or suspected?

Is the non aqueous phase DNAPLs or LNAPLs?

Plume Size: length (ft.): width (ft.): Porosity: %

Average Thickness (inches):

Contaminant(s) (please include name, source, history, mass estimate, NAPL, etc.):

For estimates, please forward all the above information to your nearest office location indicated below.

In-Situ Oxidative Technologies, Inc.

11 Princess Road, Suite A Will Caldicott 6452 Fig Street, Suite C

Lawrenceville, New Jersey 08648 Technical Sales Arvada, Colorado 80004

P: 609-275-8500 F: 609-275-9608 P: 617-964-0945 P: 303-843-9079 F: 303-843-9094

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