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1 <br /> IT CORPORATION,SACRAMENTO <br /> GROUNDWATER SAMPLING AND ANALYSIS REQUEST FORM <br /> PROJECT NAME Don Rodgers,515 West Charter Way,Stockton <br /> SCHEDULED DATE November 15,2001 <br /> [' <br /> SPECIAL INSTRUCTIONS/CONSIDERATIONS Authorization Kathleen Waldo <br /> 4th Quarter 2001 Groundwater Monitoring Event Sacto Office Dir 916-565-4370 <br /> Project# 880039.1A <br />' Task Code 01050000 <br /> Originals to Kathleen Waldo <br /> Bring purge water back to the office tank- note amount cc <br /> 1 old drum left at the back of the building Drum leaks <br /> Well Lock <br /> 0464 <br /> zoo 4208 -033 J Zv� <br /> Gate 3210 <br /> r <br /> Well Number Casing Casing Depth to <br /> or Source Diameter Length Water ANALYSES REQUESTED <br /> (inches) (feet) (feet) <br /> 09/17/2001 <br /> MW-1R 40 51 9 2075 TPHG/BTEX/MTBE(8015 8020) <br /> VW-213 20 395 2147 <br /> rVW-313 20 402 2143 <br /> Field Measurements <br /> Wells VW-2 and VW-3 are dual completion pH,EC,Temp,D O <br /> wells Sample the deeper well of each pair <br /> Wells should be marked w/a"D" designation <br /> r Check water levels in well VW-4 and VW-1 <br /> If there is enough water to sample,then do <br /> r <br /> Laboratory and Lab QC Instructions <br /> Sparger Technology <br /> 3050 Fite Circle, Suite 112 <br /> r Sacramento,Ca 95827 of- Need EDDs from lab <br /> 916-362-8947/Fx 362-0947 <br /> r <br />' Page i of i <br />