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V <br />;;7 <br /> IT CORPORATION-SACRAMENTO <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 April 23,2002(confirmed wBlame) <br />' SPECIAL INSTRUCTIONS/CONSIDERATIONS Project Manager Kathleen Waldo <br /> tad Quarter 2002 Ground Water Monitoring Dir Ph in Sacto 916-565-4370 <br />' Standard 3-casing volume purge Project No 8804M 1ACost Code 01060000 <br /> Bring purgewater back to the office tank Document amount <br /> Copies to Kathleen W Ido <br /> e <br /> Site is coordinated with Blame Tech (408-573-0555/x221,Candy) cc <br /> Well Lock <br />' Number(s) <br /> 0464 <br /> 1 <br /> Site Contact Jun Parkinson(owner)or Mike Doughtery(Mngr) <br /> Well Number Casmg Casing Depth to <br /> or Source Diameter Length Water ANALYSES REQUESTED <br /> (inches) (feet) (feet) <br /> Sample Order Last Event 01/28/2002 <br /> TPHG/BTEX(8015/8020) <br />' MW-2 20 250 1293 MTBE/DIPE/ETBE/TAME/T 60) <br /> MW-3 20 250 1200 <br /> MW-1 20 250 1261 S <br /> Field Measurements <br /> pH, EC,Temp n <br /> V <br /> Laboratory(address, phone,contact and QC instructions) <br /> CLS Labs <br /> 3249 Fitzgerald Road <br /> Rancho Cordova,Calif 95742 <br /> 916-638-7301 /Fx 638-4510 <br /> Page 1 of 1 <br />