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LX <br /> JOB NAME Ranch Market JOB NUMBER 077 42006 00.6 <br /> WNTACT Mr Nagi Sateh Ali 209-545-397 DATE PREPARED 04/28/00 Jaff Auchterlorne <br /> DRESS 23569 Santa Fe Road SAMPLED BY , , <br /> Riverbank CA 95367 SAMPLE DATE O$1p31 as <br /> file WorkRequstlR6-QW-1 wk4 <br /> SECOR- Sacramento WORK REQUEST FORM <br /> SAMPLE 1 Domestic Well at pressure tank tap <br /> "After arriving on-site, review work order and SSP,then call Jaff Auchterionie in Sacramento" <br /> Photograph site and adjoining properties,note utility conflicts for proposed well locations shown on map <br /> 1) Check in Store manager, Mr Abdul Lsumain <br /> 2) Sample onsite Domestic Well DW-1 at holding tank drain Kick up pump to sample new water exiting tank <br /> 3) Fill out COC&request analyses <br /> Lab #Samples # Container TAT <br /> Kiff 1 f G 40 ml VOAs 1 Wk (BTE)C TPHg, Oxygenates, 1-2-DCA, and EDB using EPA 8260) <br /> _ 9) Lab Contact Kiff Analytical Mr Joei Kiff Phone 530.297-4800 <br /> 720 Olive Dnve, Suite D FAX 530-297-4803 <br /> Davis CA 95616 <br /> 10) "Call Jim or Jaff in Sacramento before you leave the site" <br /> 11) Leave originals of all notes and COC's with Jaff Auchterlonie in Sacramento <br /> EQUIPMENT NEEDED <br /> Health&Safety Site Plan um &generator,one drum <br /> (6) 40 ml VONs preserved(HCI) (1)Drum, One Cooler with lce <br /> _Bader for 2"and 4"diameter wells, IP or water level meter, pHfTemp/Cond Meter, Disposable Bailers, COC's,drum labels,etc <br /> 112",9116',and 15116"sockets,and other misc tools — <br /> GENERAL INFORMATION -- <br /> Direct all questions to Jim or Jaff 916 364-1880-office <br /> PROJECT MANAGER,JAFF AUCHTERLONIE AUTHORIZATION <br />