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SHAW Environmental&Infrastructure,Inc. <br /> GROUNDWATER SAMPLING AND ANALYSIS REQUEST FORM <br /> PROJECT NAME P�rS on's Arco <br /> ADDRESS 3250' *st Hammer Lane,Stockton,Ca (I-5&Hammer Lane) <br /> 1 SCHEDULED DATE July 2,2003 r(Z'G <br /> 'oW 14 <br /> SPECIAL INSTRUCTIONS/CONSIDERATIONS Project Manager David Herzog <br /> 3rd Quarter 2003 Ground Water Monitoring Dir Ph in Sacto 916-565-4377 <br /> Project No 8800401A <br /> Standard 3-casing volume purge Cast Code 01060000 <br /> Bring purgewater back to the office tank Document amount <br /> 0191v-- Copies to David Herzog <br /> cc <br /> Blaine Tech (408-573-05551 x221,Cindy)is no longer sampling adjacent site <br /> Well Lock <br /> Number(s) <br /> 0464 <br /> Contact Vicks McCartney @ San Joaquin County to notify her of / <br /> the sampling event: 209-468-3456 <br /> Site Contact Jun Parkinson(owner)or Mike Doughtery(Mngr) <br /> Well Number Casing Casing Depth to <br /> or Source Diameter Length Water ANALYSES REQUESTED <br /> (inches) (feet) (feet) <br /> Sample Order Last Event 4/3/03 <br /> MW-3 20 250 13 06 TPHG/BTEX(801518020) <br /> MW-2 20 250 1402 MTBE/DIPE/ETBE/TAME/ A(82600) <br /> MW-4 20 250 13 35 <br /> Field Measureme s. <br /> MW-1 20 250 13 72 pH,EC,Temp <br /> MW-5 20 250 13 61 <br /> Laboratory(address, phone, contact and QC instructions) . <br />' CLS Labs P O For 2003'. 206765 <br /> 3249 Fitzgerald Road <br /> Rancho Cordova, Calif 95742 <br /> 916-638-7301 /Fx 638-4510 <br /> Contact Ray Oslowski <br /> i Page I of 1 <br />