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EMCON ASSOCIATES-Sacramento <br /> GROUND WATER SAMPLING AND ANALYSIS REQUEST FORM <br /> PROJECT NAME : ARCO t US-1612 Hammer Lane, Stockton _ <br /> CHEDULED DATE: March 18, 1992 <br /> SPECIAL INSTRUCTIONS!CONSIDERATIONS : Project Jay Johnson <br /> 1 st Quarter Sampling Event 1992 _ Authorization: RESNA <br /> 5 casing volume purge. ! Project No. : G71-33.01 <br /> Sample in indicated order. Task Code: <br /> Must wear orange safety vest while on site. Send Results To: Sheila Kruse <br /> Orange cones must be used for wells in driveways or parking lots. (EMCON) <br /> Samples should be Labeled with the sama+ing designation as well as <br /> the estimated sample depth in parentheses. Example MW-1 (23') <br /> %ating product measurements of>1. 0.02'must be verified with <br /> a clear bailer. <br /> Weil Lock <br /> Number(s) <br /> Site Contact: 209-478-2723 <br /> Name Phone� <br /> 00 Casing Casing Depth to <br /> Diameter Length Water ANALYSES REQUESTED <br /> Well Number (inches) (feet) {feet? <br /> Il3U - } i �L eil . <br /> At 4 <br /> l\ 1 <br /> ►rte. - � 4 .0 �.-:. �Gf � �c�(.� CA <br /> Add: Fish blossay&Total Pb to the <br />• historically dirtiest well on site. <br /> (Separate CARS for bioassay A Total Pb. <br /> Bioassay to be analyzed by Sequoia Labe <br /> total Pb to CAS-Per Kyle Chrlstla <br />• � Laboratory and Lab QC Instructions <br /> PL't Tata) Pb <br /> Fish bioassay- 96-hr LC50 using fathead minnow. <br /> Title 22 Method uoia) <br />