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SHAW Environmental&Infrastructure,Inc. <br /> GROUNDWATER SAMPLING AND ANALYSIS REQUEST FORM <br /> PROJECT NAME Don Rodgers,515 West Charter Way,Stockton • <br /> SCHEDULED DATE February 6,2006 <br /> Coordination with Arco 2168(441 Charter) -URS,Vern Elarth @ 916-679-2299 <br /> I Equiva Site-Blaine-Josh Kerns{916-925-2913X101}Jkerns@blainetech com , <br /> Chevron site 9-2033-G-R,Bob @ 925-551-7555. <br /> SPECIAL INSTRUCTIONS/CONSIDERATIONS: Authonzation Dan Wynne <br /> 1st Quarter 2006 Groundwater Monitoring Event Sacto Office Dir. 916-5654184 <br /> Bring purge water back to the office tank-note amount Cell Phone: 530-902-9245 <br /> Need a few traffic cones for MW-3R and MW-6 that are located on Protect# 8800391A <br /> the sidewalk sk Code 01010000 <br /> Field Paul Weinhardt <br /> No more dogs at residence----11111104 SRR. t f} �/ Cel Phone: 530-391-4037 <br /> �9 Don @ 209 1439 Resident where pit Well Lock <br /> Don will tie up the dog pner to our arri Number(s) <br /> 0464 <br /> Notify Lon Duncan at San Joaquin County 20 -4 -0337. n l 1 Gate 3210 <br /> Need xtra key <br /> -jl' for MW-2R <br /> well Casing Casing Depth to <br /> Sampling Diameter Length Water ANALYSES QUESTED <br /> Order (inches) (feet) (feet) <br /> 1117!2005 (Pit bull at fest Ik inAE 2R is leeated)- <br /> MR 2 0 300 22 15 TPHG by 8015 <br /> M��/R 20 300 2096 BTEX/MTBE by 8260B <br /> MX <br /> Field Measurements <br /> V4 <br /> 20 374 2164 pH,EC,Temp,D O <br /> M1R 40 519 2128 <br /> MWRD 20 800 2300 Check water levels in well VW-4 and VW-1D• <br /> 1� <br /> If there is enough water to sample,then do <br /> VD 20 402 2197 <br /> V,�11D 20 400 2201 <br /> MRS 20 500 2251 Wells VW-1,VW-2 and VW-3 are nested <br /> wells Sample the deeper well of each pair <br /> -2D 20 391 2214 Wells should be marked w/a"D"designation <br /> Laboratory and Lab QC Instructions <br /> STL/Quanterra P.O 3648 <br /> 880 Riverside Parkway <br /> West Sacto,Calif 95604 <br /> 916-373-5600/Fx 372-1059 Need EDDs from lab. <br /> Contact Pravani Pilla <br /> 1�ti <br /> - 0 Page 1 of 1 <br /> 1 � <br />