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SHAW Environmental &Infrastructure,Inc <br /> y GROUNDWATER SAMPLING AND ANALYSIS REQUEST FORM <br /> PROJECT NAME Don Rodgers,515 West Charter Way,Stockton <br /> SCHEDULED DATE August 8-Levels/August 9,2005 Sample wells. <br /> Coordination with Arco 2168 (441 Charter)-URS,Vern Elarth @ 916-679-2299 <br /> Equiva Site-Blaine-Josh Kerns(916-925-2913X101)Jkerns@blainetech.com <br /> Chevron site 9-2033-G-R,Bob @ 925-551-7555 <br /> SPECIAL INSTRUCTIONS/CONSIDERATIONS• Authorization Dara Wynne <br /> 3rd Quarter 2005 Groundwater Monitoring Event Sacto Office Dir: 916-565-4184 <br /> Bring purge water back to the office tank-note amount. Cell Phone: 530-902-9245 <br /> Need a few traffic cones for MW-3R and MW-6 that are located on Protect# 8800391A <br /> the sidewalk �53 ,ra 01010000 <br /> s Field Pa Weinhardt <br /> i <br /> No more dogs at residence---11111/04. SRR. l Phone: 530- -4037 <br /> Call Dan @ 209 992 4 43 . Resident when pit bull is at Well A MR— � W cic <br /> Dan will tie up be dog pnor-to ew Vtun r(s <br /> Z 't� 046 <br /> Notify Lori Duncan at San Joaquin County: 209-468-0337 qLXV Gate 410 <br /> N " <br /> J?Need key <br /> for 1VltiN R <br /> well Casing Casing Depth to <br /> Sampling Diameter Length Water ANALYSESQUBS <br /> Order (arches) (feet) (feet) <br /> 5/9/2005 (P#but at resda�- •••7..ere MW 2 .r ti,.ea ed) <br /> MW-2R 20 300 2014 TPHG/BTEX 1 MTBE (8015/8020) <br /> MW-3R -20 30 0 1908 , <br /> Meld Measurements: <br /> VW-4 20 374 1954 pH,EC,Temp,D.O. <br /> MW-1R 40 519 1941 <br /> MWARD 20 800 21 06 Check water levels in well VW-4 and VW-1D: <br /> If there is enough water to sample,then do. <br /> VW-313 20 402 2008 <br /> f VW-11) 20 400 2010 <br /> MW-4RS 20 500 2068 Wells VW-1,VW-2 and VW-3 are dual completion <br /> wells Sample the deeper well of each pair <br /> VW-2D 20 395 2014 Wells should be marked w/a"D" designation <br /> Laboratory and Lab QC Instructions: <br /> STL/Quanterra \, P.O 3648 <br /> 880 Riverside Parkway <br /> West Sacto, Calif 95604 <br /> 916-373-5600/Fad' 372-1059 go Need EDDs from lab. <br /> Contact Jon Gildersleeve' <br /> Page l of 1 <br />