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s • rl <br /> WORK REQUEST FORM <br /> Date of Request 052802 Requested Completion Date 053002 <br /> Pro Name SUSD Franklin HS Pro No 54 17292 0001 <br /> � J <br /> Site Address 300 N Gertrude Ave , Stkn Task 01 <br /> Project Manager Jeanne Homsey Field Tech Alex Flores <br /> Client Contact Butch Schmidt Phone No 953-4069 <br /> Regulatory Contact Jeff Wong _ Phone No 468-0335 <br /> Approval ' ' 7-1 Completion Date 0 5 W 0?- A*� <br /> Notify Client and Regulator 48 hrs prior to site work Af _ <br /> Onsite contact Butch <br /> Monitor dtw/dtb in MW-1 <br /> Purge and sample MW-1 <br /> Sample for BTEX/TPHg and fuel oxygenates by EPA 8260 <br /> Samples to Argon Labs <br /> Contain well purge water Reuse drum well ND last sampling event 11/01 <br /> Take one drum <br /> Well is 2" , total depth-is--65', depth to water is - 60' <br /> Prepare purchase order requisition_for samples N P- _ <br /> AFLORESISUSDFHS doe <br />