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. WORK REQUEST FORM <br /> Date of Request 060900 Requested Completion Date 061200 <br /> Proi Name N & S Irrigation Prod No 54 14981 0001 <br /> Site Address 215_West Main-St Ripon, Ca Task <br /> Project Manager Jeanne Homsey Field Tech Alex Flores <br /> Client Contact Paul Van Dvken Sr Phone No 599-3456 <br /> Regulatory Contact Ron Rowe Phone No 468-3420 <br /> Approval J{- Completion Date o 6,1260 <br /> E .G . <br /> Notify Client and Regulator 48 hrs prior to site work A <br /> Monitor dtw/dtb in all three wells <br /> Monitoring order is MW-2,3 & 1 <br /> Pur e and sample_all three wells <br /> Contain well-purged water Take two drums <br /> Sample for BTEXJTPHg <br /> Samples to Sequoia <br /> Wells are two-inch, approx dtw 23', dtb 40' <br /> Prepare purchase order_for samples ,4r <br /> • <br /> AFLOREST-WORK doc <br />