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. WORK REQUEST FORM <br /> Date of Request 111400 Requested Completion Date 121300 <br /> Proj Name N & S Irrigation Prod No 54 14981 0001 <br /> Site Address 215 West Main St Ri on Ca Task <br /> Project Manager Jeanne Homsev Field Tech Alex Flores <br /> Client Contact _ Paul Van D. k� en Sr Phone No 599-3456 <br /> Regulatory Contact Ron Rowe Phone No 468-3420 <br /> Approval Completion Date <br /> le <br /> Notifv Client and Regulator 48 hrs prior to site work <br /> Monitor dtw/dtb in all three wells <br /> Monitoring order is 1\4W-2, 3 & 1 <br /> Purge and sample all three wells <br /> Contain well-purged water Take one drum <br /> Sample for BTEX/TPHg OTT <br /> Samples to Sequoia <br /> Wells are two-inch, approxdtw 25' d_t_b 40' <br /> Prepare purchase order for samples Af� <br /> AFLORESIN&SIRRIC doc <br />