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1 <br /> WORK REQUEST FORM <br /> Date of Request 12/13/04 Requested Completion Date 12/14-16/04 <br />' Proi Name _ Tuleburge Warehouse Proj No 98-263 <br /> Site Address 8200 N Hwy 99, Morada, CA Task none <br />' Project Manager John Lane Field Tech A Scoma <br /> Client Contact Rqy Ba lietto Phone No 209-468-0433 <br /> Regulatory Contact JeffreN<Vong Phone No 209-468-0335 <br />' Approval Completion Date /1,f]L.31r,4 <br />' READ AND UNDERSTAND THIS WORK REQUEST PRIOR TO <br /> ARRIVING ON SITE!!!!! <br /> 1 Assignment is to sample domestic wells at and near the site <br />' The goal.is to collect sample as close to each well possible Collect from sample port before <br /> pressure tank if possible If no port, collect from tank or nearest tap Be sure to turn the well on <br /> for 15 minutes or so prior to sampling See attached list for addresses site well 8338 N H <br />' 99.4632 4418, 4508 4540, and 4644 Gnekow and 4799 Foppiano-the.„Church) We need to put <br /> each sample on its own chain of custody form Samples to FGL for VOCs by EPA 524 <br /> I <br /> I <br /> I <br />