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Shaw Environmental <br /> GROUNDWATER SAMPLING AND ANALYSIS REQUEST FORM <br /> PROJECT NAME Don Rodgers,51.5 West Charter Way,Stockton <br /> SCHEDULED DATE May 17,2006 <br /> SPECIAL INSTRUCTIONS I CONSIDERATIONS , Dan Wynne <br /> Additional sampling per Dan. S ice Dir: 916-5 4184 <br /> Bring purge water back to the office tank-note amount. ell Phone: -9 -9245 <br /> Need a few traffic cones for MW-311and MW-6 that are located on ct# 12 21 <br />' the sidewalk. T ode 050 0000 <br /> eld Paul Weinhardt <br /> hone: 530- 91-4037 <br /> � ell Lock <br /> No more dogs at residence----1ll11/04. SRR. Number(s) <br /> Call Pan @ 209 992 1439, Resident where pit bell is a. 0464 <br /> Dan wdl fie up the dog pner to our emva6 Gate 3210 <br /> Notify Lon Duncan at San Joa uin County 209-468-0337. \ eed xtra ke <br /> for MW-2R <br /> wen Casing Casing Depth to <br /> Sampling Diameter Length Water ANALYSES REQUESTED <br /> Order inches (feet) (feet) <br /> Using your perastalti�try rge with low-flow <br /> and collect samples fysis: <br /> MW-4RD 2 0 800 2167 <br /> MW-4RS 2 0 500 2147 Mn(field filtered) <br /> MW-3R 20 300 1968 Sufate <br /> MW-IR 40 519 2003 Alkalinity <br /> VW-21) 20 395 NA Nitrate <br /> Field Measurements- <br /> pH,EC,Temp,D.0,Redox/ORP <br /> Laboratory and Lab QC Instructions <br /> CLS Labs <br /> 3249 Fitzgerald Road <br /> Rancho Cordova,Calif 95742 <br /> 916-638-73011 Fx 638-4510 Need EDDs from lab. <br /> Contact Ray Oslowski <br /> Page 1 of 1 <br />