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WORK REQUEST FORM <br /> Date of Request 102097 Requested Completion Date: 102397 <br /> Prof Name: Stockton Fire Station ##2 _ Proj No: 62574 0001 <br /> Site Address: 110 Sonora Ave. Stockton Ca Task- <br /> Project Project Manager: Jeanne Homsev Field Tech A. o <br /> Client Contact: Jim Escobar Phone No: 209-937-8438 <br /> Regulatory Contact: Steve Sasson Phone No: 209-468-3459 <br /> Approval: -�A Completion Date:E12h°! -AF <br /> Notify regulator prior to site work <br /> Monitor DTW/DTB 7 wells In order <br /> MW 4 3 2 5 1 zl & RW-1 Call in to project manager with water levels <br /> Purge and sam le five wells in order. MW-4.2.3,5 & 1 A r4D AX-U W eLL& °"t 'SIT-07 <br /> Containpurge- water. Reuse drum from VW-3 ND last round of sam lin <br /> 04196 . MW-2 & 3 re orted 58 and 59 ppb diesel. <br /> Take three drums for purge water contaiment. <br /> Sample for BTEX/TPHg & TPHd <br /> Samples to Sequoia Analytical <br /> Wells are 55' dee water is at 28' Wells are 2'' <br /> Take 3259 keys. <br /> P.M. lids and locks <br /> Prepare purchase re uisition form for samples. <br /> r <br /> AFLORESW-WORK doc <br />