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WORK REQUEST FORM <br /> Date of Request 011105 Requested Completion Date 01 1305 <br /> Prod Name Diesel Performance Proj No 54 62577 0001 <br /> Site Address 2804 East Fremont St Stkn Task 01 <br /> Project Manager Jeanne Homsev Field Tech Charlie Selkow <br /> Client Contact Lori Shields Phone No 946-023 3 <br /> Regulatory Contact Lori Duncan Phone No 468-0337 <br /> Approval --�r Completion Date <br /> Notify client and regulator 48 hrs prior to site work <br /> Monitor DTW/DTB in all gw monitoring wells MW-1-7 <br /> Purge and sample all wells in order <br /> Monitoring order MW-6 4 5, 7. 3 1 & 2 <br /> Sample all wells in the same order <br /> Analyze for BTEX/TPHg, TPH (2 diesel and kerosene and Oxygenates by 8260B_ <br /> Samples to Argon Labs Geotracker 1D_# T0607700242 <br /> Contain purge water MW-1, 3-7 were ND las_t_QMS (10/04), reuse drums <br /> Take two drums <br /> All wells are hand bailable <br /> All wells are 2", dtw —58',_dtb 65' <br /> Prepare purchase requisition form for samples _ <br /> • AFUOE ESOIESELP dog <br />