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1 <br /> SHAW Environmental&Infrastructure,Inc. <br /> GROUNDWATER SAMPLING AND ANALYSIS REQUEST FORM <br /> PROJECT NAME Parkinson's Arco <br /> ADDRESS 3250 West Hammer Lane,Stockton,Ca(1-5&Hammer Lane) Q <br /> SCHEDULED DATE January 12,2004 t �� <br /> SPECIAL INSTRUCTIONS/CONSIDERATIONS • V <br /> Project Manager David Herzog <br /> 1st Quarter 2004 Ground Water Monitoring Dir Ph in Sacto 916-565-4377 <br />' Standard 3wcasing volume purge Project No 8800401ACost Code 0106D000 <br /> Bring purgewater back to the office tank. Document amount <br /> Copies to David Herzog <br /> 1 Blaine Tech (408-573-0555/a221,Cindy)is no longer sampling adjacent site cc <br /> Well Lock <br />' Number s <br /> 0464 <br /> Contact Vicki McCartney @ San Joaquin County to notify her of <br /> the sampling event- 209-468-3456 <br /> Site Contact: Jain Parkinson owner or Mike Dou to Mn <br /> gr <br /> Well Number Casing Casing Depth to <br /> or Source Diameter Length Water ANALYSES REQUESTED <br /> in feet feet <br /> Sample Order Last Event 10/13/2003 <br />' MW-3 20 250 1546 TPHG/BTEX(8015/8020) <br /> MTBE/DIPE/ETBE/TAME/T 2 ) <br /> MW-2 20 250 1542 1,2-DCA / <br /> EDB <br />' MW4 20 250 1470 ' <br /> Mw-1 20 250 1509 Field <br /> Measurements- <br /> MW-5 <br /> , O - <br /> pH,ECTemp <br /> 2a 2so 1502 <br /> f � <br />' Laboratoryaddress hon <br /> (address, phone,contact and <br /> CLS Lobs O. For 2003'- 206765 l i <br /> 3249 Fitzgerald Roads <br /> Rancho Cordova,Calif 95742 k.v e-- Q S <br /> 916-638-7301 /Fac 638-4510 cz-t+1 lr-! <br /> Contact' Ra Oslowski Z 5 <br /> i <br /> Page 1 of 1 <br />