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WORK REQUEST FORM <br /> Date of Request: 121394 Requested Completion Date:_ 121994 — <br /> ' Proj Name: Thiemanns Service Proj No: 150078-01 <br /> Site Address: 106 Second St Ripon Ca. Task: none <br /> Project Manager: Jeanne Homsey Field Tech: A. Flores <br /> ' Client Contact: Gerald Thi nn 209-599-3158 <br /> Phone No: 20999 3158 <br /> Regulatory Contact: Mary MMeays Phone No: _ 209-468-0337 <br /> ' Approval. Completion Date: a y A 's <br /> Qr 0,8 n O - mar� D It `h�� (O 3 �- <br /> Notify Client and regulator prior to site work a)3,7, <br /> Monitor DTW/DTB three wells. In order. <br /> Purge and sample three wells. In order. <br /> MW 1,23 is the order. <br /> ' Sample for BTEX_/TPHg <br /> Sample to Argon Mobile Labs.________ <br /> ' Contain purge water. Take a Drum <br /> Well one is "non detectable"._All_others wells are hot. <br /> Wells are for - feet deep. Water is at thirty feet.Wells are two inch. <br /> ' Well re locked with dolphin lock <br /> Prepare Purchase order request forms. <br /> SIACQUESIF WORK doe <br /> 1 <br /> I <br />