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I -- <br /> MON A1ATES4SMCMmMM 0- r <br /> . GROUND WATER SAMPLING AND ANALYSIS REQUEST FORM <br /> 4Lu CT NAME ARCO#21 Ml Charter Way, Stockton <br /> LEDDATE. August T,1992 <br /> SPECIAL INSTRUCTIONS 1 CONSIDERATIONS : Pro)eot Greg Air! <br /> 3rd Ouarlrr 1992 Event Auttuonzatarx RESNA <br /> S ca"volume purge Protect No. : G?1-3& 1 <br /> Sample in indica- order. Task Code* <br /> Must wear orange safety vest while an site Ongirtaf CARs.- Jim P11M <br /> Orange cones must be used for wells in driveways or parking lots. (El1CON1 <br /> Samples should be labeled with the sampling designation as well as <br /> 1 the estimated sample depth in parentheses Example MW-1 =1 <br /> Floairng product measurements of>/.0 02'must be venfied with <br /> a dear bailer <br /> Well Lock <br /> Nu s <br /> 3259 <br /> I <br /> Sde Contact <br /> Name Phone� <br /> Well Number Casing Casing Depth to <br /> or Source Diameter Length Water ANALYSES REQUESTED <br /> inches) feed (feet) <br /> MW-2 40 560 -40 For all wails: <br /> 1 TPH as gasolhra <br /> MW-1 40 555 -40 BTEX <br /> EPA 601 <br /> MW-3 40 545 -40 ADD <br /> Total Oil& Grease for JAW-2 ONLY. <br /> Total 3 Fecal Coliform for MW-3 ONLY. <br /> 1 <br /> �I(laz <br /> 1 - <br /> Y�l <br /> �4F <br /> Laboratory and Lab OC Instructions: <br /> Coliform to Sequoia Analytical-Detection Limit of 2.2 ppbmMuired <br />