Laserfiche WebLink
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(I-5&Hammer Lane) <br /> SCHEDULED DATE: October$,2003 <br /> t3 <br /> SPECIAL INSTRUCTIONS/CONSIDERATIONS: Project Manager: David Herzog <br /> Ath Quarter 2003 Ground Water Monitoring Dir Ph in Sacto: 916-5654377 <br /> Standard 3-casing volume purge. Project No.: 8800401ACost Code: 01060000 <br /> Bring purgewater back to the office tank. Document amount. `-( <br /> Copies to: David Herzo <br /> Blaine Tech.(408-573-0555/x221,Cindy)is no longer sampling adjacent site. cc; <br /> Well Lock <br /> V <br /> Number(s <br /> 0464 <br /> Contact Vic i McCartney`@ San Joaquin County to notify her of <br /> the sampling event: 209-468-3456 <br /> Site Contact: Jim Parkinson(owner)or Mike Doughtery(Mn r) <br /> g.— <br /> Well Number Casing Casing Depth to <br /> or Source Diameter Length Water ANALYSES REQUESTED <br /> inches} (feet) (feet) <br /> Sample Order: Last Event: 7/21/2003 <br /> MW-3 2.0 25.0 13.72 TPHG/BTEX(801518020) <br /> MW-2 2.0 25.0 14,64 <br /> MTBE/DIPE/ETBE 1 TAME/TBA(8260) <br /> MW-4 2.0 25.0 13.93 <br /> Field Measurements: r �� <br /> MW-1 2.0 25.0 14.34 pH,EC,TempL� �S <br /> MW-5 2.0 25.0 14.25 <br /> 1 <br /> Laboratory(address,phone,contact and QC instructions) : <br /> CLS Labs P.O. For 206765 <br /> 3249 Fitzgerald Road <br /> Rancho Cordova,Calif 95742 <br /> 916-638-7301 /Fx. 638-4510 <br /> Contact: Ray Oslowski <br /> �r <br /> Page I of 1 <br />