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4 <br /> •1 <br />• WORK REQUEST FORM <br /> Date of Request: 082896 Requested Completion Date: 082996 <br /> Prol Name: Holt Brothers Stockton Prol No.94-331 - Sub rob 001 <br /> I <br /> i <br /> Site Address: 1541 West Charter Way Stockton Ca. Task- 06 <br /> I <br /> Protect Manager: Jeanne Homsey Field Tech- A Flores <br /> i <br /> Client Contact: Al Kroizer Phone No- 209-466-6000 <br /> - I <br /> Regulatory Contact: Marizaret Laizorio Phone No: 209-468-3449 <br /> I <br /> Approval: J _ Completion Date _ ,BZcI 4G A_4:7- � <br /> - E- <br /> Notify Client and Regulator prior to site arrival <br /> Survey replacement wells, tie into existing wells <br /> Develop and sample MW-5R2. <br /> Sample for BTEX/TPHg, TPH @ Diesel, EPA 8010. <br /> Samples to Sequoia Analytical <br /> Contain well development water. Take 2 drums <br /> Take a diversified well key <br /> Wells are 40-50 feet deep„ Water is,at 17 feet Wells are 4 inch <br /> Drum invetory <br /> Prepare a purchase order log form. <br /> AFLORESIF-WORK doc <br />