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• WORK REQUEST FORM <br /> Date of Request 12/15/03 Requested Completion Date 12/16/03 <br /> Proj Name Souza II, LLC Proj No 450 <br /> Site Address 612 West 11th Street, Tracy, CA Task <br /> Project Manager John Lane Field Tech A Scoma <br /> Client Contact Mike Souza Phone No 835-8330 <br /> Regulatory Contactt-]Vicki McCartney Phone No 468-3456 <br /> Approvaly `r C'2 L<9 <br /> Completion Date <br /> READ AND UNDERSTAND THIS WORK REOUEST PRIOR TO ARRIVING ON SITE <br /> The scope of work will consist of puring and sampling three„2=inch wells Chemical hazards are <br /> gasoline and BTEX see Site-Safety Plan) Items to bring to site include, centrifugal pump and <br /> tubing, bailers disposable sample bailers water level probe field meters ice chest with ice <br /> _Bring a drum just in case <br /> • Measure DTW/DTB in each site well in order The order is MW2 MWI MM3 DTW should <br /> be approximately 12 - 13 feet below ground surface (bgs), and DTB should be approximately 25 <br /> feet bgs Make sure you follow our decon protocols for all downhole equipment and between <br /> wells <br /> Purge and sample wells in order The order is MW2, MMI, MW3 Wells are 2-inches in <br /> diameter and approximately 25 feet bgs Purge 3-5 casing volumes and until physical parameters <br /> (pH, conductivity, temp) have stabilized Make sure you follow our decor protocols for all <br /> downhole equipment and between wells You can combine purged water in a single drum All <br /> wells have veKy low levels of TPH /BTEX Pur ewater drum is to be stored in waste disposal <br /> area <br /> After the wells have stabilized sample for TPH BTEX EPA 8015B/8021B and ox s lus <br /> EDB and 1,2-DCA) EPA 8260B Send samples to Argon Labs for analysis Write need EDF <br /> format on Chain of Custody <br /> Take a detailed drum count <br />