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R <br /> ELR�f <br /> N ASSOCIATES-Sacramento <br /> GROUND WAkTMPLING AND ANALYSIS REQUEST FORM <br /> PROJECT NAME : Not Cal Beverage =>,j� <br /> SCHEDULED DATE: May 31, 1991 <br /> SPECIAL INSTRUCTIONS I CONSIDERATIONS: Project <br /> Authorization: Bob Husk <br /> Develop and sample 1 well. Project No. :-G05-01.01 <br /> Task Code: <br /> Please take a drum from the warehouse for purge water. Send Results To: Bob Husk <br /> Well Lock <br /> Numbe s <br /> y <br /> X CHECK BOX TO AUTHORIZE DATA ENTRY site Contact: <br /> jk�d) r ynwn (zcq)M-4 0 <br /> Name Phone# <br /> Well Number Casing Casing Depth to <br /> or Source Diameter Length Water ANALYSES REQUESTED <br /> inches feet feet <br /> MW-1 2.0 -80.0 -70.0 TPHG <br /> S TPHD <br /> BTEX <br /> Laboratory and Lab OC Instructions: <br /> NOTE: IT IS VERY IMPORTANT TO INCLUDE A COPY OF PROTECT PROPOSAL <br /> AND WELL LOCATION MAP OR SKETCH WITH THIS REQUEST. <br /> _ Page 1 <br />