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EMCON ASSOCIATES <br /> GROUND WATER SAMPLING AND ANALYSIS REQUEST FORM <br /> PROJECT NAME: Tell~ <br /> 103 N."E"SL,Stockton <br /> SCHEDULED DATE: December 3, 1992 <br /> NS 1 I I I I , IERAT10N5 : Project <br /> SPECIAL INST�� �AanMoHnO RATIONS : <br /> Authorization: B. Husk <br />' 4th Quarter Project No. : OFliO.002� <br /> Task Code:001 <br /> Originals to: S&dq:!!+PrO <br /> cc: B. Husk <br /> J. Asmus <br />' Well Lock <br /> Number(s) <br /> 2357 <br /> X CHECK BOX TO AUTHORIZE DATA ENTRY Site Contac <br /> Name Phone� <br /> Well Number Casing Casing Depth to <br /> or Source Diameter Length Wafer ANALYSES REQUESTED <br /> Inches meet test <br /> Y4 <br /> 824/92 <br /> MW-3 4.0 48.4 Y dry AU mss: <br /> MW-4 4.0 54.1 dry TPH as GsscUm <br /> MW-5 4.0 53.0 dry BTEX ' <br /> MW-a 2.0 34.9 79.58 <br /> MW-10 2.0 90.0 80.17 . <br /> MW-11 4.0 89.8 80.58 <br /> MW-12 2.0 89.1 80.77 <br /> MW-13 2.0 89.2 82.34 <br /> Laboratory and Lab DC Insbuedcns: a . <br /> ' VERY IMPORTANT TO INCLUDE A COPY OF PROJECT PROPOSAL <br /> NOTE: R IS <br /> AND WELL LOCATION MAP OR SKETCH WITH THIS REQUEST. <br /> Page 1 <br /> r <br />