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. WORK REQUEST FORM <br /> Date of Request: 120594 Requested Completion Date: 121294 <br /> Prod Name: King Island Resort _ Proj No: 15007 01 <br /> Site Address: 11530 West Eight Mile Road. Stockton, Ca. Task: 004 <br /> Project Manager: John Lane Field Tech: A. Scoma <br /> Client Contact: Yvonnp, Ma ti 1-- Phone No: 209-369-1041 <br /> Regulatory Contact: Mike Infurna Phone No: 20946873454 <br /> Approval: z1hCompletion Date: 12-12A 4 � <br /> l <br /> Notify the client and the regulator prior to site arrrY&L _� ( L <br /> Monitor DTW/DTB all wells, In oLd r <br /> Purge and sample all we . In or er <br /> MW654 21 rdr <br /> ample f_or BTEX_/TPHg.and.TPH cr, Diesel <br /> Sample to Argon Labs. <br /> Contain all purge water. <br /> All wells N.D. last round. <br /> Ther ill be a 12urgewater r m v 1 concurrent with this sampling event. <br /> The manifest will be signed by an agent for Kang Island Resort. ( 7s x rV� <br /> Assist the driver if necessary, <br /> I <br /> SJACQUESIF-WORK doc <br /> • w <br />