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JOB NAME 7-Eleven Store#17334 JOB NUMBER 77EL 17334 03 0703 <br /> SITE ADDRESS 4501 North Pershing Ave START DATE 1131 "71 3 <br /> Stockton, CA DATE PREPARED 03/05/03 <br /> REPARED FOR Tom Miller PREPARED BY Danielle Catlin-Wright <br /> -WORK REQUEST FORM <br /> SCOPE OF WORK. 1st QUARTER 2003T� MONITOR AND SAMPLE 5 W_E-LLS <br /> 1 Arrive at site-Review 1 HASP, 2 work order, then call Brian Carey in Sacramento <br /> Site is an active, gasoline dispensing service station <br /> Check in with site manager Business Phone (209) 951-6745, Franchisee Manjit& Gurpal Grewal <br /> 2 Oen wells shown on attached table and let groundwater levels equilibrate DTW should be approximately 18 <br /> to 19 feet+or-) <br /> 3 Monitor DTW, DTB, PT, and DO in the well shown on attached table (lop of Casing) <br /> Note calibration readings for D O meter and take D O readings in bucket with agitated water <br /> (Note if well has measurable thickness of Product, visually inspect with bailer) <br /> 4) Using a G_rundfos pump system, purge three casing volumes of water per well _ <br /> Measure& record pH, conductivity, and temperature of the purged water from the well <br /> 5 Collect four 4 40-m1 preserved VOAs from the well BTEX, TPH ,&5 Oxygenates 826013 <br /> 6)6 _ Place all purge water in a 55-gallon drum and store onsite Be sure to properly label drum <br /> Note contents of drum on field notes Note location of drum on attached site ma <br /> 7) Fill out COC and request EPA 8260E on"Standard Turnaround" <br /> 8) Deliver all samples to Kiff Analytical @ 2795 2nd Street, Suite 300, Davis, CA 95616 <br /> {530)297-4800 _ <br /> _ 9) Call Jaff Auchterlonie in Sacramento before you leave the site (916)861-0400 ext 223 or cell (916) 825-4607 <br /> 10) Fill Out Equipment Billing Sheet for all equipment used on the job and attach with field notes <br /> 11) Give copies of att notes and COC's to Brian Carey, ASAP <br /> 12) Bill Travel time to 77EL 17334 03 0711 <br /> - - <br /> Bill labor time to 77EL 17334 03 0703 (not to exceed 5 hours onsite labor) <br /> ESI tl?MIwNT MEl;DED. <br /> Health&Safety Site Plan <br /> 4-40 ml preserved (HCI)VOAs (bring extra containers)and cooler with ice <br /> Grunfos Pump System, pH/Temp/Cond Meter, DO Meter, Disposable Bailers, COC's, drum labels, etc <br /> 112", 9/16', and 15/16"sockets, and other misc tools <br /> ONE 55-gallon drum <br /> GNERAL INFORMATION <br /> Direct all questions to Jaff Auchterlonie, 916 861-0400 ext 223-office <br /> PROJECT MANAGER, Jaff Auchterlo nie AUTHORIZATION <br /> • <br />