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OB NAME: 7�ievekStore#1411:7 JOB NU'MBER•:' 2a1501013(230,1bbb <br /> SITE ADDRESS: 2725 Country Club Rd. STARTDATE. 4/0- <br /> Stockton cA DATE PREPARED: 219/2032' <br /> PREPARED FOR: RandyA d.ridge.. PKEPARFQ BY; Colih Ryan <br /> WORK REQUEST FORM <br /> S_PP't.OF WORK: ;02.fNJ C'#f>t„O!lkRA710�1&,MAINTENANCE,(8„Bottles of 02) <br /> 1) Arrive at site-Review(1)HASP;(2)work order(3)Call Damon Brown(916)826-7052 <br /> Check in with 7-Eleven store manager Store Phone(209)463-1259 Franchisee:Satinder&Bljit Bal <br /> 2) Measure DTW In Monitoring Wells near Injection wells;DTW should be approximately 7-9'bgs. <br /> 3) PRIOR TO OXYGEN INJECTION INTO ANY WELL,measure DO in monitoring wells, _ <br /> Call Ed Simonis(916-384-0773)with initial DO measurements to determine changes <br /> in injection plan. <br /> WELLS TO RECEIVE INJECTION:1-2,1-3,I-4,1-5(300 cubic feet into each well). <br /> 4) At the remedial well vault,connect tubing from the oxygen canister to the injection wellhead. <br /> 5) Install 2”slip caps on monitoring wells near the wells receiving injection. MW caps should be plumbed to <br /> allow LEL/02 measurement at the cap(take measurement without removing the slip cap). <br /> 6) Open oxygen canister regulator to release approx.300 cubic feet of oxygen Into each injection well. <br /> Rate of injection can vary between 2-5 cfm. Injection pressure should be approximately 30 PSI or less. <br /> 7) During injection,measure LEL/02 levels in area surrounding the well head and at oxygen cylinders. <br /> Oxygen levels should be below 23.5%. See HASP for details. <br /> Measure LEU02 levels in any monitoring well near the well(s)receiving injection. <br /> If 02 is less than 20%or LEL more than 0%,leave sampling port open until 02 increases and LEL drops to 0%. <br /> Once during each injection,measure induced vacuum in nearby MW's with a Magnahelic. <br /> 8) Upon completion of injection,collect DO readings from all wells listed on observation sheet. <br /> Calibrate DO meter before and after injection and document in field notes <br /> 9) Call Damon Brown before you leave the site. <br /> Call upon completion of work and when field notes are completed but BEFORE leaving site <br /> 10) Fill Out 7-Eleven Equipment Billing Sheet for all equipment used on the job and attach with field notes. <br /> 11) Turn in field notes ASAP <br /> 12) Bill labor time to 211501013.230.1000(max.5 hours onsite labor) <br /> Bill travel time to 211504013.230.1000 <br /> ,.. ...•. ,..., .. a., <br /> Site Health&Safety Plan <br /> D.O.Meter;LEL/02 meter <br /> 02 canisters,hosing,diffusers,regulators,speed bumps,NO SMOKING SIGNS <br /> 1/2",9/16' and 15/16"sockets and other misc.tools <br /> Traffic control pylons,cones,etc. <br /> Direct questions to Project Manager(Damon Brown),(916)861-0400-office <br /> PROJECT MANAGER, AUTHORIZATION <br />