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JOB NAME 7-Eleven Store#20632 JOB NUMBER 77EL 20632 03 0702 <br /> SITE ADDRESS 4627 Da Vinci Drive START DATE / b <br /> Stockton,CA DATE PREPARED 10/17/03 <br /> PREPARED FOR �� //�i� PREPARED BY Brian Care <br /> WORK REQUEST FORM <br /> 1 Arrive at site-Review 1 HASP, 2 work order, then call Brian Carey in Sacramento <br /> Site is an active,gasoline dispensin2 service station <br /> Check in with site manager Business Phone(209)952-3543, Franchisee Manlit&Gurpal Grewal <br /> 2) Open wells shown on attached table and let groundwater levels equilibrate (DTW should be approximately 6 to 8 <br /> feet+or- <br /> a Monitor DTW, DTB, PT,and DO in the well shown on attached table(Top of Casing) <br /> Note calibration readings for D O meter and take D O readings in bucket with agitated water <br /> Note if well has measurable thickness of product,visually inspect with bailer)_ <br /> Sample Order Clean to Dirty See Gauging Sheet. <br /> _ 4)__ Using a Grundfos pump system,purge three casing volumes of water per well <br /> Measure&record pH,conductivity,and temperature of the purled water from the well <br /> 5� Collect three(3)40-m!_preserved VOAs from the well BTEX,TPHg,&5 Oxygenates(8260B) <br /> _ ) Place all purge water in a 55-gallon drum and store onsite Be sure to properly label drum <br /> - --- — - <br /> _Note contents of drum an field notes Note location of drum on attached site map__ <br /> 7) Fill out COC and request EPA 8260B on"Standard Turnaround" <br /> 8) Deliver all samples to Kiff Analytical Q 2795 2nd Street,Suite 300,Davis,CA 95616 <br /> (530)297-4800 <br /> 91 Call Jaff Auchterlonie in Sacramento before you leave the site (916)_861-0400 ext 223 or cell(916)825-4607 <br /> 10) Fill Out Equipment Billing Sheet for all equipment used on the lob and attach with field notes <br /> 11) Give copies of all notes and COC's to Brian Carey,ASAP <br /> 12) Bill Travel time to 77EL 20632 03 0711 <br /> Bill labor time to 77EL 20632 03 0702 not to exceed 7 hours onsite labor) <br /> Bill 1 hour of total labor time to 77EL 20632 03 0714 <br /> Health&Safety.Site Plan <br /> 21 -40 ml preserved(HCl)VOAs(bring extra containeml and cooler with ice <br /> Grunfos Pump System,pH/Temp/Cond Meter, DO Meter, Disposable Bailers,COC's,drum labels,etc <br /> 112",9116', and 15/16"sockets,and other mise tools <br /> ONE 55-gallon drum <br /> 15, Idilli: <br /> Direct all questions to Jaff Auchterlonie, 916 861-0400 ext 223-office )/� <br /> PROJECT MANAGER,Jaff Auchterlonie AUTHORIZATION <br />