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1 <br /> i` r <br /> PCI <br /> 1 <br /> WORK REQUEST FORM <br /> Date of Request 091799 Requested Completion Date 092799 <br /> Prod Name. K O K Realty _ Prod No 62581 0001 <br /> Site Addres 2403 West Navy Dr Stockton Ca Task <br /> Project Manager. Tom Lutterman Field Tech Alex Flores <br /> Client Contact- Sheldon Basch Phone No- 914-631-6900 <br /> Regulatory Contact: Jeff Won Phone No. 209-468-0335 <br /> Approval J Completion Date 09 77c' r <br /> Notify client and regulator 48 hra prior to site work <br /> Also notify Swift Trucking Co at 943-1476 to move trailers parked over wells <br /> Monitor DTW/DTB 7 wells In order. MW-5.7.6-4,3.1 & 2 _ <br /> Pure and sample all wells MW-5,7,6,4,3,1 & 2 3rd MS <br /> Sam le for BTEX/TPHg with MTBE with lower D L and TPHd <br /> Samples to Sequoia Analytical <br /> Wells are 29' deep Water is at 12" Wells are 2" <br /> MW2 has had free product in the ,past Use interface probe and take bailer cut <br /> Take a long bailer Lo-purge this well if it doesn't have product <br /> Contain purge water Reuse drum from MW-5 ND last QMS 03/99 <br /> Remove free product from skimmer in MW-2 and store on site Note amount of <br /> product removed and total amount stored on site inside building <br /> Prepare purchase requisition form for samples <br /> AFLOREST-WORK doe <br />