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SHAW Environmental&Infrastructure,Inc. 1 . 1� <br /> GROUNDWATER SAMPLING AND ANALYSIS REQUEST FORM �;, t' � <br /> PROTECT NAME Parkinson's Arco �� ,1 <br /> ADDRESS 3250 West Hammer Lane,Stockton,Ca(1-5&Hammier Lane) <br /> SCHEDULED DATE July 18,2005 <br /> SPECIAL INSTRUCTIONS/CONSIDERA PIONS: Project ManagerDan Wynne <br /> 3rd Quarter 2005 Ground Water Monitoring Dir Ph in Sacto• 916-565-4184 <br /> Project No 8800401A <br /> Standard 3-casing volume purge. Cost Code 0201 <br /> Brmg purgewater back to the office tank Document amount. <br /> � j�� Copies to Dan W nue <br /> cc <br /> Blaine Tech (408-573-05551 x221,Cindy)is no longer sampling adjacent site. <br /> cic <br /> � Numb <br /> 0464 <br /> Contact Vicki McCartney @ San Joaquin County to notify her of All\3 <br /> the sampling event. 209-468-3456 <br /> r <br /> Site Contact: Jun Parkinson(owner) <br /> Well Number Casing Casmg Depth to <br /> or Source Diameter length Water ANALYSES UES <br /> (inches) (feet) (feet) <br /> Sample Order Last Event- 4/18/2005 <br /> MW-3 20 250 1184 TPHG/BTEX(8015/8020) <br /> MTBE/DTPE/ETBE/TAME BA(8260) <br /> MW-2 20 250 1278 1,2-DCA <br /> EDB <br /> MWA 20 250 1203 <br /> MW-5 20 250 1234 Field Measurements. <br /> pH,EC,Temp <br /> MW-1 20 250 1246 <br /> Measure TD's per Vicki at the County <br />' Laboratory(address,phone,contact and QC instructions) <br /> CLS Labs P.O For Lab: 3649 <br />' 3249 Fitzgerald Road <br /> Rancho Cordova,Calif 95742 <br /> 916-638-7301 /Fx 6394510 <br /> Contact Ray OsIowsla <br /> Page 1 of I <br />