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Y <br /> r 1 <br /> j <br /> i <br /> 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 7,2005 U <br /> Coordination with Arco 2168(441 Charter)- URS,Vern Elarth @ 916-679-2299 <br /> Equiva Site-Blaine-Josh Kerns(916-925.2913X101)Jkerns@blmnetech.com <br />� Chevron site 9-2033-G-R,Bob @ 925-551-7555 <br /> SPECIAL INSTRUCTIONS/CONSIDERATIONS . Authorization Ben Chevlen <br /> 1st Quarter 2005 Groundwater Monitoring Event Sacto Office Dir 916.565-4353 <br /> H Project# 8800391A <br /> Bring purge water back to the office tank-note amount { ask Code 01010000 <br /> Need a few traffic cones for MW-3R and MW-6 that are located on <br /> the sidewalk. <br /> No more dogs at residence----11111/04. SRRCall Doll Ca 2-9 992 1439. Resident wh--- pt bull is at-Well A4W 2Pv <br /> `�,` � Well Lock <br /> Don mill tie up the dog prioF to our-or-ril � �V� Number(s) <br /> 0464 <br /> Notify Lori Duncan at San Joaquin County- 209-468-0337 "+ Gate 4 <br /> f <br /> 4 ti p Need xtra key <br /> MW-2R <br /> Well Casing Casing Depth to ff i <br /> Sampling Diameter Length Water ANALYSES RESTV-D <br /> ' Order (inches) (feet) (feet) <br /> 11/15/2004 <br /> t 4 <br /> MW-2R 20 300 2376 TPHG/BTEX/MTBE(8015/802 ) <br /> MW-3R 20 300 2260 <br /> Field Measurements ' <br /> VW-4 20 374 2324 pH,EC,Temp,D O <br /> MW-1R 40 519 2297 <br /> MW-4RD 20 800 2460 Check water levels to well VW-4 nd VW-1D: <br /> VW-31) 20 402 2360 If there is enough water to sampl then do <br /> VW-ID 20 400 2352 <br /> MW-4RS 20 500 2430 Wells VW-1,VW-2 and VW-3 are dual comp <br /> .1 wells Sample the deeper well of each pair <br /> VW-2D 20 395 2374 Wells should be marked w/a"D" designation <br /> Laboratory and Lab QC Instructions <br /> STL/Quanterra P.O for 2004'. 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 /> I <br /> i 4 <br /> Page I of 1 ; <br />