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. i <br /> { <br /> i <br /> • a <br /> J <br /> . WORK REQUEST FORM <br /> Date of Request 112499 Requested Completion Date 123199 <br /> Prod Name N & S Irrigation Prod No 54 14981 0001 <br /> Site Address 215 West Main St. Ripon, Ca Task <br /> Project Manager- Jeanne Homsey Field Tech Alex Flores <br /> Client Contact Paul Van D ken Sr Phone No 599-3456 <br /> Regulatory Contact Ron Rowe Phone No 468-3420 <br /> Approval :J-� Completion Date 1 a 30 R 9 A' <br /> i (Z.L. <br /> Notify Client and Regulator 48 hrs prior to site work ' �' Z 9 <br /> Monitor dtw/dtb in all three wells <br /> Monitoring order is MW-2,3 & 1 <br /> Purge and sample all three wells _ <br /> Contain well-purged water Take two„drums _ <br /> Sample for BTEX/TPHg� „__ <br /> Samples to Sequoia <br /> Wells are two-inch, approx dtw 25', dtb 40' _ <br /> Prepare purchase order for samples AF <br /> AFLOREST-WORK doc <br />