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• WORK REQUEST FORM <br /> Date of Request 111400 Requested Completion Date 120800 <br /> Prod Name SUSD Franklin HS Prod No 54 17292 0001 <br /> Site Address 300 NGertrude Ave , Stkn Task <br /> Project Manager Tom Lutterman Field Tech Alex Flores <br /> Client Contact Butch Schmidt Phone No 953-4069 <br /> Regulatory Contact Jeff Wong Phone No 468-0335 <br /> Approval c)v- -:i ,,._. S - Completion Date 2- L? <br /> Notify Client and Regulator 48 hrs prior to site work <br /> Onsite contact Butch <br /> . Monitor dtw/dtb in MW-1 <br /> Purge and sample MW-1 y 3 <br /> Sample for BTEX/TPHg and fuel oxygenates by_EPA 260 <br /> Samples to Sequoia _..,..._..__ <br /> Contain well purge water Take one drum <br /> Well is 2" , total depth is ---65 , depth to water is — 54' <br /> Prepare purchase order requisition for samples Alf, <br /> G�►lam.--� v+..axs.�re..•.�.wf-- Vtc- S• lo. ar �-o CC'w.i-� <br /> « c9sc•�1.� c,,,, �.r.LC. ,�. <br /> AFL.ORES%SUSDFHS doc <br />