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1 <br /> WORK REQUEST FORM <br /> Date of Request: 022599 Requested Completion Date 7022699 <br />' Proj Name: SIJSD Stagg HS--- Proj No: 17292.0002- <br /> Site <br /> 72 2.00 2Site Address: 1621 Brookside Rd_, Stkn Task: <br /> Project Manager: Tom Lutterman Field Tech: Alex Flores <br /> Client Contact: Phone No: <br />' Regulatory Contact: Jeff Wong Phone No: 468-0335 <br />' Approval: Completion Date: } <br /> rNotify Client and Regulator 48 hra, prior to site work. <br /> Onsite contact Butch <br /> Monitor dtw/dtb in MW-1 _ <br /> Develop and saMle MW-1. <br /> Smaple for BTEXITPHg and fuel oxygenates by EPA 8260. <br /> rSamples to Sequoia <br /> Contain well dev. water. Take two drums <br />' Stored well dev. water and soil cutting drums inside fenced area. _ <br /> Well is 2" total depth is 24' depth to water is •- 10'. <br /> Prepare purchase order requisition for samples. _ — <br /> r <br /> AFLOREST-WORK.doc <br />