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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 January 16,2006 <br /> SPECIAL INSTRUCTIONS/CONSIDERATIONS Project Manager _Dan Wynne <br /> 1st Quarter 2066 Ground Water Monitoring Dtr Ph in Sacto. 916-565-4184 <br /> Project No 8800401A <br /> Standard 3-casing volume purge Cost Code 0201 <br /> Bring purgewater back to the office tank. Document amount. <br /> Copies to Dan's Portal <br /> cc <br /> Blaine're-11- (408-573-0555 1 x221,Qndy)ne longef!sampling adjoeent site. <br /> Well Lock <br /> Numbers) <br /> 0464 <br /> Contact Vicki McCartney @ San Joaquin County to notify her of 0� , <br /> Ithe sampling event. 209-468-3456 <br /> Site Contact* Jim Parkinson owner) <br />' Well Number Casing Casing Depth to <br /> or Source Diameter Length Water ANALYSES REQUES <br /> Triches) (feet) (feet) <br /> Sample Order Last Event 10/17/2005 <br /> MW-3 20 250 1333 TPHG/BTEX(801518020) <br /> MTBE/DIPE/ETBE I TAMES BA <br /> MW-2 20 250 1432 1,2-DCA - <br /> EDB <br /> MW-4 20 250 1360 i <br />' MW-5 20 250 1388 Field Measurements: <br /> pH,EC,Temp <br /> MW-1 20 250 1401 <br /> Measure TD's per Vicki at the C unty<--------- <br /> i <br /> 1 <br /> Laboratory (address,phone,contact and QC instructions) <br />' CLS Labs Lab PO# 3649 <br /> 3249 Fitzgerald Road <br /> Rancho Cordova,Calif 95742 <br /> 916-638-7301 /Fx 638-4510 ` <br /> 1 Contact Ray Oslowski <br /> Page 1 of 1 <br />