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• WORK REQUEST FORM <br /> Date of Request 121002 Requested Completion Date 121202 <br /> Prod Name SUSD Franklin HS Prod No 54 17292 0001 <br /> Site Address 300_N_ Gertrude Ave , Stkn Task 01 <br /> Project Manager Jeanne HomseyField Tech Alex Flores <br /> Client Contact Butch Schmidt Phone No 953-4069 <br /> Regulatory Contact Jeff Wong Phone No 468-0335 <br /> Approval Completion Date M/2-0 _ Er--- <br /> Notify <br /> Noti Client and Regulator 48 firs prior to site work '&,( t4t mess xr 4 ^,rgare4 L. <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 Ar on Labs. <br /> Contain well purpe water <br /> Take one drum <br /> Well is 2". total depth is —65', depth to water is — 60' <br /> Prepare purchase order requisition for samples_NR <br /> AFLORMSUMMS doc <br />