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WORK REQUEST FORM <br /> Date of Request 1.12499 Requested Completion Date 122799 <br /> Project Name Gardner Propejjy Proj No 5462582 0001 <br /> Site Address 26080 Thornton Rd Thornton Ca Task 04 <br /> Project Manager Tom Lutterman Field Tech A Flores <br /> Client Contact Donna Gardner Phone No 714-639-3040 <br /> Regulatory Contact Harlin Knolls <br /> Phone No 209-468-3442 <br /> Approval -1 ompletlon Date / 2$9 9 A-F_ <br /> 67P-C,_ <br /> Notify regulator and Ron Rall 468-3094 48 hrs prior to site work <br /> Monitor DTW/DTB all wells In order MW-1,6.5,2,3 & 4 <br /> Pure and sample MW-2,3 & 4 and Municipal well 4th MS <br /> Schedule mum well access with Ron Rall to sample from 0800 to -1100 <br /> Sample for BTEX/TPH <br /> Sam les to Se uoia <br /> Keep purge volume to a minimum and contain the purge water in drums on site <br /> Contain purge water MW-1,2,3,5 & 6 were ND last round of sam lin 10199 <br /> Reuse drums <br /> Wells are 30 ft deep water is ata rox 11' ft b s Wells are 2 " <br /> Prepare purchase requisition form for samples Ar <br /> AFLOREST-WORK doc <br />