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WORK REQUEST FORM <br /> Date of Request: 040700 Requested Completion Date: 041000 <br /> ' Proj Name: Inland Paint Co. Proj No: 54.17295.0001 <br /> ' Site Address: 117 W. Harding Way. Stkn Task: <br /> Project Manager: Drew Van Allen Field Tech: Alex Flores <br /> t <br /> Client Contact: Chuck Wright Phone No: 209-466-0373 <br /> Regulatory Contact: Mike Info <br /> rra Phone No: 209-468-3454 <br /> tApproval: 0 AW VO-- 0'`— Completion Date: /000 Af- <br /> ' Notify client and regulator 48 hrs. prior to site activities. <br /> Develop and sample MW-4. <br /> Contain develo ment ur e water. Take one drum. <br /> Analyze for BTEX/TPH TPH diesel TPHss and Fuel ox enates by 8260. <br /> Samples to Argon Laboratories. <br /> ' Well is 2", dtw — 23'. total depth — 38'. <br /> Prepare purchase requisition form. -AW _ <br /> 1 <br /> AFLORESUNLANDPAINT.doc <br />