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1 7 <br /> Shaw Environmental <br /> GROUNDWATER SAMPLING AND ANALYSIS REQUEST FORM <br /> PROJECT NAME Don Rodgers,515 West Charter Way,Stockton <br /> SCHEDULED DATE May 8,2006 <br /> Coordination with Arco 2168(441 Charter)-URS,Vern Elarth @ 916-679-2299 <br /> Equiva Site-Blaine-Josh Kerns(916-925-2913X101),lkerns@blametech com <br />' Chevron site 9-2033-G-R,Bob @ 925-551-7555. <br /> SPECIAL INSTRUCTIONS/CONSIDERATIONS Authorization Dan Wynne _ <br />' 2nd Quarter 2006 Groundwater Momtonng 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-311 and MW-6 that are located on Protect# 120221 <br /> the sidewalk Task Code 05000000 <br /> VJ�+ N&-ed s—4e::) �19,peva. -c r�—S f Field <br /> 5 VIE `rte .. Cell Phone <br /> ;3439i 4032 <br /> V��w`�O,r f ( .�v✓►.�S Er' Y.c sz� / / Well Lock <br />, N��o more dogs at residence----11111104. SRR Number(s) <br /> .Call_Don C& 209 992 1430 Resident w1.....e pit bull is at Well 11 3S 2-R- 0464 <br /> Pan will tie up the dog prior-to our orwivaLv Gate 3210 <br /> Notify Lon Duncan at San Joaquin County: 209-468-0337. Need xtra ke <br /> for MW-2R <br /> well Casing Casing Depth to <br /> Sampling Diameter Length Water ANALYSES REQUESTED <br /> Order (inches) (feet) feet <br /> 2/6/2006 mto QCT N <br /> MW-2R 20 300 2074 TPHG by 8015 <br /> MW-3R 20 300 1968 BTEX/MTBE by 8260B <br /> VW-4 20 374 2027 <br /> MW-1R 40 519 2003 Feld Measurements <br /> W-4RD 20 800 2167 pH,EC,Temp,D O <br /> VW-3D 20 402 1273 <br /> VW-1D 20 400 2083 <br /> MW-4RS 20 500 2147 Perform slug testing on wells 5/11 &5/12. See attached field sheet <br /> VW-2D 20 395 NA Wells to slug test in order of importance <br /> MW-4RD <br /> Check water levels in well VW-4 and VW-1D MW-4RS <br /> If there is enough water to sample,then do MW-1R <br /> VW-2D <br /> Wells VW-1,VW-2 and VW-3 are nested VW-1 <br /> wells Sample the deeper well of each pair VW-3 <br /> Wells should be marked w/a"D"designation VW-4 <br /> Last MW-2R/DON'T DO MW-3R <br /> Laboratory and Lab QC Instructions: <br /> CLS Labs <br /> 3249 Fitzgerald Road <br /> Rancho Cordova,Calif 95742 0eq -t4l� <br /> 916-638-7301/Fx 638-4510 Need EDDs from lab <br /> Contact Ray Oslowski <br /> Page 1 of 1 <br /> i <br />