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WORK REQUEST FORM <br /> Date of Request q est 052605 Requested Completion Date 060105 <br /> Prot Name N & S Im ation Prol No 54 14981 0001 <br /> Site Address 215 West Main St. Ripon, Ca Task 01 <br /> Project Manager Jeanne Homsey Field Tech Charlie Selkow <br /> Client Contact Paul Van Dyken_Sr Phone No 599-3456 <br /> Regulatory Contact Margarett La orio Phone No 46$-3449 <br /> Approval Completion Date. �I,6/6 k5- <br /> Notify CIient and Regulator 48 hrs prior to site work Onsite Contact Jim <br /> Monitor dtw/dtb in all three wells <br /> Monitoring order is MW-1 2 & 3 <br /> Purge and sample all three wells._ <br /> Contain well-purged water Take one drum <br /> Sam le for BTEX MTBE/ TPHg by EPA 8021B/ 8015M Note in c-o-c if MTBE <br /> is ositive by EPA 8021B to confirm by running fuel oxygenates (S plus 1,2 DCA <br /> and EDB) by EPA 8260B <br /> Global ID # T0607700395 <br /> Samples to Argon _ <br /> Wells are two-inch approx dtw 28' dtb 40' All wells are hand bailable <br /> Pre are-purchase order for samples IVR z z5-0O <br /> AFLORES\N&SIRRIG doc <br />