Attach__3_Submittals.pdf

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Attached to
Construction of a Water Well
Solicitation number
13-235-SOL-00005
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Submittal Review Form

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SUBMITTAL REVIEW FORM

Received by ENGINEER: Submittal No.

Date Initial Solicitation No.

Received by CONTRACTOR: Submittal No.

Date Initial

ITEM NO. SPECIFICATION

DESCRIPTION*

(Indicate Type, Model No., Manufacturer, etc.) ACTION TAKEN

BY OWNER

1. Well Casing (02671)

2. Drive Shoes (02671)

3. Well Screen and Method of Installation (02670)

4. Grout and Method of Installation (02670)

5. Drilling Fluids and Plan for Use(02670)

6. Chemicals (02670)

7. Gravel Pack and Method of Installation(02670)

8. Formation Stabilizer and Method of Installation (02670)

9. Well Pump and Recovery Test Results

10. Well Log

11. Daily Driller’s Report

11.Geopysical Logging

12. Water Quality Testing and Chemical Analysis

13. Submersible Well Pump Design

10. Method of Disinfection

11. Method of Development

12. Lab to Perform Chemical Analysis

13. Type of Drilling Equipment

14. Well Drilling Rig Operator Experience

15. Work Plan (02670)

* If the item description for a material submittal is not the exact brand or model specified, then three (3) copies of the manufacturer's descriptive literature, catalog cut-sheets, etc., must be included with the submittal. For design submittals requiring design calculations, shop drawings, wiring and control diagrams, etc., three (3) copies of each must also be included with this submittal. If item is exact brand or model, list brand, model and "as specified."

Contractor:

Signature Date

IHS Concurrence:

Signature Date

Attachment #3

SUBMITTAL REVIEW FORM
DESCRIPTION*

File details come from the government source that posted it. Updated .