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JOB NAME 7-Eleven Store#19976 JOB NUMBER 77EL 19976 03 1006 <br /> SITE ADDRESS 1399 North Main Street START DATE -/ -5 <br /> Manteca, CA DATE PREPARED <br /> PREPARED FOR PREPARED BY Casey Sanders <br /> WORK REQUEST FORM <br /> Qu"4 n.ry.,r+y+„X �"� ` =�"1"4• }�lJ S r Y.'sr i Y <br /> SCQt?E OFlWO@'�O2fE � <br /> 1 Arrive at site- Review 1 HASP, 2 work order,then call Casey Sanders in Sacramento <br /> Check in with 7-Eleven store manager Store Phone(209)239-3252 Franchisee Manlit and Gurpal Grewal <br /> 2) DTW should be approximately 20' bgs <br /> 3) Make Tie-in to Deep segment of SP-1, inject using junction box in grass planter area <br /> 4) PRIOR TO OXYGEN INJECTION INTO ANY WELL,collect DO reading from all monitoring wells,___ <br /> Wells to receive Injection SP-1 and SP-1 A simultaneously <br /> 5) At each well,connect tubing from the oxygen canister to the injection well The tubing must reach the bottom of <br /> the well, and the well sealed around the tubing <br /> Connect tubing at bottom of well to air diffusers <br /> 6) Install 2"slip caps on monitoring wells near tha wells receiving injection MW caps should be plumbed to _ <br /> allow LEL measurement at the cap(take measurement without removing the slip cap) <br /> 7) Open oxygen canister regulator to release approx 150 cubic feet of oxygen into each injection well <br /> Rate of injection can vary between 30-50 cfh <br /> 8) During injection, measure Oz levels with an L UO2 meter in area surrounding the well head and at oxygen cylinders <br /> Oxygen levels should be below 23 5% See HASP for details _ <br /> Also measure 02 levels in anY g monitonn well near the well(�receiving ipjection <br /> 9) Upon com letion of injection, collect DO readings from all wells listed above <br /> 10 Call Casey Sanders or Jaff Auchterlonie in Sacramento before you leave the site <br /> 11) Fill ut _Equipment Billing Sheet for all equipment used on the job and attach with field notes <br /> 12) Give copies of all notes and COC's to Brian Carey,ASAP <br /> 1.3) Bill labor time to 77EL 19976 03 1006(max 8 hours onsite labor) _ <br /> Bill travel time to 77EL 19976 03 1015 <br /> ,E <br /> € f 1 <br /> 5�1711 ,Ffire <br /> Site Health&Safety Plan <br /> D O Meter, LEU02 meter <br /> 02 canisters, hosing,diffusers, regulators, speed bumps, NO SMOKING SIGNS <br /> 112",9116', and 15116"sockets, and other mist tools <br /> Traffic control pylons,cones, etc <br /> 7705F, �3 <br /> Direct all questions to Jaff Auchterlonie, 916 861-0400 ext 223-office <br /> PROJECT MANAGER,Jaff Auchterlonie AUTHORIZATION <br />