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i <br />. WORK REQUEST FORM <br /> o�os4� <br /> Date of Request: 042396 Requested Completion Date: <br /> Pro, Name: Stockton Fire Station #2 Pro, No: 94-367 <br /> Site Address:___ 110 Sonora Ave __.Stockton Ca. Sub Job:10 Task: 11 <br /> Project Manager: Jeanne Homsey „ . Field Tech: A. Flores <br /> Client Contact: Jim Escobar Phone No: 209-937-8438 <br /> Regulatory Contact: Linda Turkette Phone No: 249-468-3441_ _ <br /> Approval: J�4- Completion Date:_074$9 G Air <br /> Notify regulator prior to site work. <br /> Monitor DTW/DTB 7 wells. In order. <br /> MW 4,3,2.5.1.2z1.rw1 order. <br /> Pure and sample five wells in order MW-4.3.2.5 & 1 <br /> Contain .purge water. Reuse drums from-MW-2,3&4 ND last round of sampling_ <br /> Take two-drums. <br /> Sample for BTEX/TPHg & TPHd <br /> Samples to Sequoia Analytical. <br /> Wells are5 ' deeI2, t r i Well ar 2" <br /> Take 3259 keys. <br /> P M lids and lock <br /> Proare Purcha5e order. <br /> AFIORMF-WORK dm <br />