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SHAW Environmental&Infrastructure, Inc <br /> GROUNDWATER SAMPLING AND ANALYSIS REQUEST FORM <br /> • f <br /> PROJECT NAME Parkinson's Arco ' <br /> ADDRESS 3250 West Hammer Lane, Stockton,Ca(I-5 & Hammer Lane)" <br /> SCHEDULED DATE July 23,2002(confirmed w/Blaine) �� <br /> SPECIAL INSTRUCTIONS/CONSIDERATIONS Project Manager Kathleen Waldo <br /> 2nd Quarter 2002 Ground Water Monitoring Dir Ph in Sacto 916-565-4370 <br /> Project No 8$00401A q <br /> Standard 3-casing volume purge Cast Code 01060000 <br /> Bring purgewater back to the office tank Document amount <br /> Coies to Kathleen Waldo <br /> ,/ \� c <br /> Site is coordinated with Blaine Tech (40&573-0555/x221, Cindy)i" <br /> Weil Lock � <br /> Number(s) �! <br /> 0464 <br /> Site Contact Jim Parkinson(owner)or Mike Doughtery(Mngr) <br /> Well Number Casing Casing Depth to <br /> or Source Diameter Length Water ANALYSES REQUESTED <br /> (itches) (feet) (feet) <br /> r <br /> Sample Order Last Event 04/23/2002 <br /> MW-2 20 25 0 13 02 TPHG/BTEX(8015/8020) <br /> MTBE/DIPE/ETBE I TAME/TBA(82 <br /> MW-3 20 250 1209 <br /> MW-1 20 250 1270 \n� <br /> Field Measurements <br /> MW-4 20 250 —13 pH,EC,Temp <br /> 1 T l <br /> MW-5 20 250 —13 <br /> AA� <br /> (wells MW-4& 5 have been developed previously �V V� <br /> by Blaine Tech per K Waldo) <br /> Laboratory(address, phone,contact and QC instructions) <br /> CLS Labs P O 2nd-4th Qtrs,2002 192121 <br /> 3249 Fitzgerald Road' <br /> ancho Cordova, Calif 95742 <br /> 16-638-7301 /Fx 638-4510 <br /> Page 1 of 1 <br />