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WORK REQUEST FORM <br /> Date of Request 012601 Requested Completion Date 020201 <br /> Prod Name Thxemann's Service Prod No 54 62605 0001 <br /> Site Address 106_ Second_St Ripon Ca Task <br /> Project Manager Jeanne Homsey Field Tech A Flores <br /> Client Contact Gerald Thiemann Phone No 209-599-3110 <br /> Regulatory Contact Margaret Lagorio Phone No 209-468-3449 <br /> Approval :TEL___ Completion Date jo I M:5 <br /> NotifyCllent_and regulator prior to site work A r <br /> Monitor DTW/DTB all wells In order MW-5, 4, _1 6, 1 & 3 <br /> Purge and sample all wells _ ....__ <br /> Sample for BTEXITPHg and fuel oUg_enates by EPA 8260 <br /> Samples to Argon Labs <br /> Contain purge water Take four drums <br /> Wells are 40 feet deep Water is at twenty-five feet Wells are two &„four inch <br /> Prepare purchase requisition form for samples AF„ <br /> AFLOREST-WORK doc. <br />