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1 � <br /> WORK REQUEST FORM <br /> ' Date of Request: 1_/4/96 Requested Completion Date: 1/8/96 <br /> Prgl Name:- Wheel Proj No- 95-113—Sub Job: 01-01 <br /> Site Address: 474 W Grantlxne Rd at Bessie Ave Traay Task: A <br /> tProject Manager: Jeanne Homsey Field Tech:-A Flores <br /> ' Client Contact: Eraclis T&irelas (don't call) Phone No: 209 835-1817 <br /> ' Regulatory Contact:,_ Mary Mead Phone No: 468-0337 <br /> Approval: Completion Date: 8 9 G -ArF <br /> Monitor DTW/DTB three well W-1 MW-2 MW- <br /> ' Develop three wells in order. <br /> Sample three wells in order. <br /> W- 1 . 3. and 2 is th rd r. <br /> Sample each well for TPHg. TPHmo BTEX and Total Lead. -1"6 R otl <br /> 2 121astic unpreserved containers for the Total lead and 2 liter-jars <br /> ' with HCL for the TPHmo. <br /> Note on chain of custody to Filter the Total Lead samples in the laboralgry <br /> ' as aogn as possible. <br /> Wells„are between I q and-/5feet deep. Water was at 5 _ <br /> Wells are 2 inch diameter. <br /> Contain Pur e Water. Bring drums. Label drums. ~ <br /> ' Mark s it drumscin-site with marker. <br /> ' Dir ctions- <br /> 1 <br /> w W5113\wrkordcr doc <br />