Geophysics | Geophysics Section | Geophysics Staff


Geophysical Logging Request Form

In order to facilitate scheduling of logging duties and reduce conflicts, please submit completed request form as early as possible. It is the responsibility of the requestor to address any site permission issues before submitting a completed request form.

* = Required Fields

 

* Your Name


* Type of Log(s) Requested
(Select all that apply:
Hold "Ctrl" key and select options)
(More Information)

 
     

- -
* Phone Number

   
 
/ / 20
* Today's Date


* Location
(Legal Description or Geographical Coordinates)
 
 


* Contractor/Driller

 

/ / 20
* Drilling Date

 
         
 

/ / 20
* Estimated Completion Date

  

Feet
* Estimated Depth

 
         

Inches
* Borehole Diameter

* Borehole Type

Casing Interval: Top:

feet

Bottom:

feet


(Use "-" for below ground surface,
Use "0" for flesh with ground surface)

 
 


* Drilling Method(s)
(Select all that apply: Hold "Ctrl" key and select options)


* What is your funding source?


If Other:
* How do you want the geophysical data reproduced?
(Select all that apply: Hold "Ctrl" key and select options)


Questions/Comments

 
For further information, please contact:
Curt Blakley (217) 244-6942
Or
Tim Young (217) 244-2772

Updated 12/4/2009 SLD

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217-333-4747
info@isgs.illinois.edu

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