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• WORK REQUEST FORM <br /> Date of Request 052400 Requested Completion Date 060500 <br /> Prod Name SUSD Franklin HS Prod No 54 17292 0001 <br /> Site Address 300 N Gertrude 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 Completion Date Ora OS 4 4 .4r" <br /> E iz-c. <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 <br /> Sam le for BTEX/TPH and fuel ox enates by EPA 8260 <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 AF <br /> AFLORESISUSDFHS doe <br />