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WORK REQUEST FORM <br /> Date of Request 070703 Requested Completion Date 071003 <br /> Proj Name Thzemann's Service Prod No 54 62605 0001 <br /> Site Address 106 Second St Rt on Ca Task 01 <br /> Project Manager Jeanne Homsey Field Tech A Flores <br /> Client Contact Gerald Thiemann Phone No 209-599-6248 <br /> Regulatory Contact Victoria McCartney Phone No 209-468.3456 <br /> Approval — Completion Date <br /> Noti Client and regulator rior to site work <br /> Monitor DTW/DTB all wells In order MW-5, 43-6, 1, 2 & 3 <br /> Purge and sam le all wells - <br /> Sam le for BTEY.-/TPHg and fuel ox enates by EPA 8260B <br /> Samples to Argon Labs Note on C-O-C to subnut electronic data in Geotracker <br /> format Global ID# T0607700564 <br /> Contain ur e water Reuse drums from MW1 2 4 5 & 6 ND last OMS 04/03 <br /> Take two drums <br /> Wells are 40'deep Water is at —twenty-seven feet Wells are two & four inch <br /> Prepare purchase requisition form for sam les A-F <br /> AFLoREsT-WORK doa <br />