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• WORK REQUEST FORM <br /> Date of Request: 121401 Requested Completion Date: 122001 <br /> Proj Name: SUSD Stagg HS Proj No: 54.17292.0002 <br /> Site Address: 1621 Brookside Rd., Stkn Task: <br /> Project Manager:_. Jeanne Homsey Field Tech: Alex Flores <br /> Client Contact: Butch Schmidt Phone No: - <br /> 953 4069 <br /> Regulatory Contact: Jeff Wong Phone No: 468-0335 <br /> Approval: sla . _„ Completion Date: l-nod h-F,,,_ <br /> Notify Client and Regulator 48 hrs. prior to site work. <br /> Onsite contact Butch Schmidt. <br /> Monitor dtw/dtb in all wells MW--1-5 in order. <br /> Monitoring order: MW-5 4 3 2 & 1. <br /> Purge and sample all wells in the same order. <br /> Sample all wells for BTEX/TPHgand fueloxygenates (9) by EPA 8260. <br /> Samples to Argon Labs. <br /> Contain well purge water. Reuse drums all wells ND last QMS (9/01). <br /> Store well-purged water inside fenced area. _ <br /> Well are 2" total depth is 24-37depth to water is — 13'. <br /> Prepare purchase order requisition for samples. <br /> AFLORESISUSDSHS.doc <br />