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SHAW Environmental& Infrastructure,Inc. <br /> GROUNDWATER SAMPLING AND ANALYSIS REQUEST FORM <br /> PROJECT NAME Don Rodgers,515 West Charter Way,Stockton <br /> SCHEDULED DATE November 13,2002(Confirmed with other parties) <br /> Coordination with Arco 2168(441 Charter)-URS, Vern Elarth @ 916-679-2299 <br /> Equwva Site-Blame-Cindy Magyar(408-573-0555 x221)cmagyar@blametech cpm <br /> Chevron site-G-R,Bob @ 925-551-7555 <br /> SPECIAL INSTRUCTIONS/CONSIDERATIONS Authorization David Herzog <br /> 4th Quarter 2002 Groundwater Monitoring Event Sacto Office Dir 916-565-4377 <br /> Project# 880039 1A <br /> Task Code 01050000 <br /> Originals to David Herzog <br /> Bring purge water back to the office tank-note amount cc <br /> 1 old drum left at the back of the building Drum leaks <br /> Well Lock <br /> Number(s) <br /> p 0464 <br /> Notify Lori Duncan at San Joaquin County 209-468-0337 1 Gate 3210 <br /> ' Well Number Casing Casing Depth to <br /> or Source Diameter Length Water ANALYSES REQUESTED <br /> (inches) (feet) (feet) <br /> 8/23/02 <br /> VW-4 20 374 N/A TPHG/BTEX/MTBE(8015/8020) <br /> MW-1R 40 51 9 2099 <br /> VW-3D 20 402 2178 <br /> Field Measure nt <br /> VW-2D 20 191 2111 pH, EC,Te , <br /> VW-1 20 182 Dry <br /> Wells VW-2 and VW-3 are dual completion <br /> wells Sample the deeper well of each pair \� <br /> Wells should be marked w/a"D" designation <br /> Check water levels in well VW-4 and VW-1 <br /> If there is enough water to sample,then do <br /> Laboratory and Lab QC Instructions <br /> Sparger Technology <br /> 3050 Fite Circle, Suite 112 P O for 2002' 189247 <br /> Sacramento, Ca 95827 Need EDDs from lab <br /> 916-362-8947 /Fx 362-0947 <br /> Page 1 of 1 <br />