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w Y <br /> WORK REQUEST FORM <br /> Date of Request 120701 Requested Completion Date 121801 <br /> Prof Name Thiemann's Service Prod No 54 62605 0001 <br /> Site Address 106 Second St Ripon Ca Task 01 <br /> Project Manager Jeanne Hornsey Field Tech A Flores <br /> Clic t <br /> Client Contac Gerald Thiemann Phone No- 209-599-3110 <br /> Saw- v q 34 53 <br /> _ <br /> Regulatory Contact ar aret Lagbrio Phone No 209-468-3449 <br /> Approval ._ _ _ �-Completion Date _ VI X 02 <br /> Notify Client and regulator prior to site work <br /> Monitor DTW/DTB all wells In order MW-5, 4, 6, 1, 2 & 3 <br /> Purge and sample all wells <br /> Sample for BTEX/TPHg/MTBE by EPA 8020 if positive confirm by running <br /> by EPA 8260 <br /> Sam les to Argon Labs <br /> Contain purge water_ Reuse drums all mon wells but MW-'2 ere ND last QMS <br /> 5101 Take two drums <br /> Wells are 40 feet deep Water is at - twenty-six feet Wells are two & four inch <br /> Prepare purchase requisition form for samples /i P, <br /> AFLORESIF-WORK doe <br />