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WORK REQUEST FORM <br />' Date of Request: 010996 Requested Completion Date: 011296 <br /> Proj Name. Thiemann's Service Proj No: _94373 <br />' Site Address: 106 Second St. Ripon Ca Sub Job: 001 Task: 010 <br /> Project Manager: Jeanne Homsey Field Tech- A. Flores_ ,.,. <br /> Client Contact: Gerald Thiemann Phone No: 209-599-3110 <br />' Regulatory Contact: --Mary Meas Phone No: 209-468-0337 <br />' Approval: Completion Dater 11 2-61 f,- 70� <br /> 4 <br />' <br /> Notify Client and regulator prior t site o w•rk <br /> Monitor DTW/DTB all wells In order. <br /> Purge and sample all wells In order. <br /> MW 1.2.5.4.6&3 is the order <br /> Sample for BTEX/TPH <br /> Sample to Argon Mobile Labs. <br />' Contain purge water Re-use drums from MW-1.2.4.&5 ND last QM. <br /> Wells are-for1y are-ffeet deep Water is at thirty feet. Wells are two & fur inch. <br /> Wells are locked with dolphin 1 cks <br />' Prepare purchase order to .44f" <br /> 1 <br /> 1 <br />' AFLORES%F-WOW{doc <br /> 1 <br />