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rSHAW Environmental&Infrastructure,Inc <br /> GROUNDWATER SAMPLING AND ANALYSIS REQUEST FORM <br />' PROJECT NAME Parkinson's Arco <br /> �U <br /> ADDRESS 3250 West Hammer Lane,Stockton,Ca(I-5&Hammer Lane) t <br /> SCHEDULED DATE October 17,2005 <br /> 1 SPECIAL INSTRUCTIONS 1 CONSIDERATIONS Project Manager Dan Wynne <br /> 4th Quarter 2005 Ground Water Monitoring Dar Ph in Sacto• 9 <br /> rolcct No 88 1A <br /> Standard 3-casing volume purge. Cost Code 0201 <br /> Bring purgewater back to the office tank Document amount. <br /> Copies t D n's Website <br /> c <br /> inti.kne Tee (408 57-3 0555 r mE22 C,...t.)ne 1,,..ger-s ..l........i....ent site <br /> Well Lock <br /> Number(s) <br /> 0464 <br />' Contact Vicki McCartney @ San Joaquin County to notify her of \ <br /> the sampling event: 209-468-3456 <br />' Site Contact- Jim Parkinson(owner) <br /> 4 <br /> Well Number Casing Casing Depth to <br /> or Source Diameter Length Water ANAL ES REQUESTED <br /> (inches) (feet) (feet) <br /> Sample Order Last Event 7/18/2005 <br />' MW-3 20 250 1246 TPHG/BTEX(8015/8020) <br /> MTBE/DIPE/ETBE/TAME 1 TBA (8260) <br />' 1(IW-2 20 250 - 1346 1,2-DCA <br /> EDB <br /> MW-4 20 y 2 1270 <br />' W-5 20 21 01' 1302 Field Measurements <br /> pH,EC,Temp ' <br /> MW-1 20 250 13 0 <br />' Measure TD's per'Vicki at the County --------------------- <br />' <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 638-45J0 <br /> Contact Ra Oslowski <br /> � a <br /> a � <br /> 4 r} <br /> LL =� <br /> Page 1 of 1 <br /> r <br />