Eagle Well Drilling

Well Certification — Service Order Form

CA Lic. #768952 • C-57 Well Drilling

1

Your Information

If available, enter the escrow or file number for this transaction.

Enter the name the inspection report should be issued under.

2

Select Service Type

3

Property Address

Type the property address and select from the dropdown, or press Enter / click Calculate.

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4

Power at the Well

The well must be operational to perform the inspection and pump test. If there is no electrical power at the well site, we will need to bring a portable generator to run the pump.

Notice — No Power / No Generator

If Eagle Well Drilling arrives at the job site and there is no power available and a generator was not selected at the time of this order, the customer will be billed $150.00 per hour plus mileage at the current rate ($2.25/mile) for the wasted trip. Please ensure you have confirmed whether power is available at the well before submitting this order.

5

Water Sampling

Includes water sample collection at the property, Total Coliform & E. Coli bacteria test (Presence/Absence), delivery to Geo-Monitor laboratory in Hesperia, and certified lab report.

Required Tests (0):

Sample Handling & Report$55.00

Lab delivery mileage (Job Site → Geo-Monitor → Office) is calculated separately based on the property address.

Lab Fees + Handling$55.00

Important Notice — Water Sampling

If water sampling is declined at the time of inspection and requested at a later date, an additional mobilization charge will apply. This charge includes labor at $150/hr plus mileage at the current rate ($2.25/mile) for a separate trip to the property and to deliver samples to the laboratory.