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iil 'f1 <br /> . WORK REQUEST FORM <br /> Date of Request: 083001 Requested Completion Date: 091201 <br /> Proj Name:_SUSD,Stagg HS Proj No: 54.17292.0002 <br /> Site Address: 1621 Brookside Rd., Stkn Task: <br /> Project Manager: Jeanne Homsey _ Field Tech: Alex Flores <br /> Client Contact: Butch Schmidt Phone No: 953-4069 <br /> Regulatory Contact: Jeff Wong Phone No: 468-0335 <br /> Approval: Completion Date:_ 174 <br /> Notify Client and Regulator 48 hrs. prior to site work. <br /> Onsite contact Butch Schmidt. <br /> Monitor dtw/dtb in all wells MW-1-5 in order. <br /> . Monitoring order: MW-5, 4, 3, 2 & 1. <br /> Purge and sample all wells in the same order. <br /> Sample all wells for BTEX/TPH and fuel oxygenates 8 by EPA 8260. <br /> Samples to Argon Labs. <br /> Contain well purge water. Take one drum. <br /> Store well-purged water inside fenced area. <br /> Well are 2", total depth is 24-37', depth to water is — 12'. <br /> Prepare purchase order requisition for samples. A F <br /> .1�F <br /> • AFLORESISUSDSHS.doc <br /> i <br />