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WORK REQUEST FORM <br /> Date of Request: 001300 Requested Completion Date: 031500 <br /> Proj Name: SUSD Stagg HS Proj No: 17292.0002 <br /> Site Address: 162.1 _Brookside Rd., Stkn Task: <br /> Project Manager: Tom Lutterman Field Tech: Alex Flores <br /> Client Contact: Butch Schmidt Phone No: 953-4069 <br /> Regulatory Contact:_ Jeff Wong Phone No: 468-0335 <br /> Approval: � Completion Date: 0,3 l,500 A :` , <br /> Notify Client and Regulator 48 hrs. prior to site work. <br /> Onsite contact Butch Schmidt. <br /> Monitor dtw/dtb in MW-1. <br /> Purge_ and sample MW-1;_ _ <br /> Sample for BTEX/TPHg and fuel oxygenates by EPA 8260. <br /> Samples to Sequoia. <br /> Contain well purwater. Take one drum. <br /> Store well purged water inside fenced area. <br /> Well is 2" , total depth is 24', depth to water is — 101. _ ^� <br /> Prepare purchase order requisition for samples. <br /> AFLORES\F-WQRK.doc j <br />