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r <br /> Number: <br /> WORK REQUEST FORM <br /> ' JOB NAME: STHU455 Grant Line Road ,JOB NUMBER: None <br /> Store# 20304 BILLING NO. 02020.4767..030504 <br /> SITE ADDRESS: 455 Grant Line Road DATE REQUESTED: <br /> Tracy, California START DATE: December 28 1992 <br /> PREPARED FOR: Field Services PREPARED BY: Sandra Undse <br /> ESTIMATED HOURS TO COMPLETE THE WORK DESCRIBED BELOW: 10 hrs plus travel <br /> OHK::OESCRIPT ©Ny <br /> 1 Monitorthe fourteen 14 site wells <br /> 2 Pur a four well volumes from each well in this order MW-12 MW--S MW-:15 MW--1j MW-3 <br /> —4 — — — <br /> ' 3 lake H Tem and Conducfivjtv Readin s from all wells. Document clearly. <br /> 4 Collect two VOA vials from each well <br /> 5 Collect one rinsate blank before each well <br /> 6 Collect one tri blank <br /> 7 Collect sam les to be anal ed for BTEX and TPH--as— asoline <br /> u and ane nnsate blank an one top blankor anaivies.at GTEL— Goncord <br /> 9 General Mineral Analysis on a same,,collected from well MW-2 <br /> 10 Ice Chest must have Thermometer. <br /> 11 Regulator vAll be on—site. <br /> 12 Ensure ro er protocal for decon. r1- <br /> 13 Please determine DTB for each well. <br /> 14 Collect samples from MW-1 &MW-4 for general minerals <br /> 15 Collect samples from MW-i for 601 602 TPH—as— asoline BTEX :TPN—as—diesel 618/8080 and <br /> soluable lead or anic lead by graphite rumace l <br /> 1 <br /> EQUIPM.E.NT.NEEDED..; gm <br /> 1 interface probe <br /> :.. <br /> 2 Bailers <br /> ' 3) Other sampling supplies as needed <br /> 4) Leave water on site in 55—gallon drum. <br /> 5 Health and Safe Plan <br /> Copies to: Sandra Lindsey, Matt Sutton, Rick Hughes, Chip Hurley <br /> Work Assigned To: <br />