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t <br /> WORK REQUEST FORM <br /> i <br /> Date of Request 09/30/03 Requested Completion Date 10/01/03 <br /> Prod Name Souza I1, LLC Prof No 450 <br /> Site Address 612 West 11th Street Tracy, CA Task <br /> Project Manager John Lane Field Tech A Scoma <br /> Client Contact Mike Souza Phone No 835-8330 <br /> Regulatory Contact Vicki McCartney Phone No 468-3456 <br /> Approval 3' 3 Completion Date f��c�lases <br /> READ AND UNDERSTAND THIS WORK REQUEST PRIOR TO ARRYVING ON SITE <br /> The scope of work will consist of puring and sampling three 2-inch wells _ _Chemical_hazards are <br /> asoline and BTEX see Site Safely PlanItems to bring to site include, centrifugal purrip and <br /> tubing bailers disposable sample bailers water level probe field meters ice chest with ice, there <br /> should be 1 drum on site <br /> • Measure DTW/DTB in each site well in order The order is MW2 MW3 MWI DTW should <br /> be approximately 11 - 12 feet below ground surface (bgs), and DTB should be approximately 25 <br /> feet bgs Make sure you follow our decon protocols for all downhole equipment and between <br /> wells <br /> Purge and sample wells in order The order is MW2 MW3 MWI Wells are 2-inches in <br /> diameter and approximately 25 feet b s Purge 3-5 casing volumes and until physical parameters <br /> H conductive tem have stabilized Make sure you follow our decon protocols for all <br /> downhole equipment and between wells You can combine purged water in a single drum All <br /> wells have veru low levels of TPHgBTEX Purgewater drum is to be stored in waste disposal <br /> area <br /> After the wells have stabilized sample for TPH BTEX EPA 8015B/8021B and ox s (plus <br /> EDB and 1 2-DCA EPA 8260B Send samples to Argon Labs for analysis Write need EDF <br /> format on Chain of Custody P-94 C,-" L-1 'ev �1 C."k . <br /> Take a detailed drum count There should be one emply open-top steel drum on site Make sure <br /> all full drums are labeled properly <br /> • <br />