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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 Mhy 9,2005 <br /> Coordination with Arco 2168(441 Charter)-URS,Vern Elarth @ 916-679-2299 <br /> Equiva Site-Blaine-Josh Kerns(916-925-2913X101)lkerns@blatnetech com <br /> Chevron site 9-2033-G-R,Bob @ 925-551-7555 <br /> SPECIAL INSTRUCTIONS/CONSIDERATIONS Authorization Dan Wynne <br /> 2nd Quarter 2005 Groundwater Monitoring Event Sacto Office Dir 916-565-4184 <br /> Cell Phone 530-902-9245 <br /> Bring purge water back to the office tank-note amount. Project# 8800391A <br /> Need a few traffic cones for MW-3R and AIW-6 that are located on Task Code 01010000 <br /> the sidewalk ffi <br /> No more dogs at residence----11111/04 SRR <br /> Gft!!Dfin@�2099924439 Resident-where pit bull us atWeRAIM' 2R Well Lock <br /> Danwill twe up the dog prior-to our-ar-r-iVal <br /> Number(s) <br /> 0464 <br /> Notify Lori Duncan at San Joaquin County 209-468-0337 Gate 3210 <br /> Need xtra key_ <br /> for MW-2R <br /> Well Casing Casing Depth to <br /> Sampling Diameter Length Water ANALYSES REQUESTED <br /> Order (inches) (feet) (feet) <br /> 2/7/2005 (Pit bull at_wide.,.,...here MAI 2R is i.,,..,t�a� <br /> MW-2R 20 300 2220 TPHG/BTEX/MTBE(8015/8020) <br /> MW-3R 20 300 2122 <br /> Field Measurements <br /> VW-4 20 374 21 64 pH, EC,Temp,D O <br /> MW-1R 40 51 9 21 57 <br /> MW-4RD 20 goo 2320 Check water levels in well VW-4 and VW-1D <br /> If there is enough water to sample,then do <br /> VW-3D 20 402 2203 <br /> VW-1D 20 400 2221 <br /> MW-4RS 20 500 2276 Wells VW-1, VW-2 and VW-3 are dual completion <br /> wells Sample the deeper well of each pair <br /> VW-2D 20 395 2232 Wells should be marked w/a"D" designation <br /> Laboratory and La QC Instructions <br /> STL/Quanterrao�� <br /> 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 Jon Gildersleeve <br /> Page l of L <br />