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JOB NAME 7-Eleven Store#21756 JOB NUMBER 77EL 21756 03 0703 <br /> SITE ADDRESS 853 East Yosemite Ave START DATE l 3 Q3 <br /> Manteca, CA DATE PREPARED 10/21/03 <br /> PREPARED FOR Tom Miller PREPARED BY Brian Carey <br /> VQRK REQUEST FORM <br /> SCOPE OF WORK 4th QUARTER 2003 MONITOR AND <br /> 1 Arrive at site-Review 1 HASP, 2 work order,then call Brian Carey In Sacramento <br /> Site is an active, Uasoline dispensing service station <br /> Check in with site manager Business Phone 209 823-4310, Franchisee Evan Nino <br /> 2 Oen wells shown on attached table and let groundwater levels a uihbrate DTW should be approximately 18 to 21 <br /> +or- <br /> a Monitor DTW, DTB, PT, and DO in the well shown on attached table(Top of Casing) <br /> Note calibration readings for D O meter and take D O readings in bucket with a hated water <br /> Note if well has measurable thickness of product, visually inspect with bailer <br /> 4 Using a Grundfos purne 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 three 3 40-m1 preserved VOAs from the well BTEX,TPH , &5 Oxygenates 82608 <br /> 6 Place all puTe water in a 55-gallon drum and store onsite Be sure toproeerly 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 82608 on"Standard Turnaround" <br /> 8 Deliver all samples to Kiff Analytical @ 2795 2nd Street,Suite 300, Davis,CA 95616 <br /> 530 297-4800 <br /> e ) ( ) 25-4607 <br /> _ a a uchterlonie�n Sacramento before you leave the site {916 861-0400 ext 223 or cell 916 8_,.__._,,.____ <br /> 10) Fill Out Equipment Billing Sheet for all equipment used on the lob and attach with field notes <br /> 11 Give copies of all notes and COC's to Bnan Carey, ASAP <br /> 12) Bill Travel time to 77EL 21756 03 0711 _ <br /> Bill labor time to 77EL 21756 03 0703(not to exceed 3 0 hours onsite labor) _ <br /> Bili 0 5 hours of total labor time to 77EL 21766 03 0714 <br /> EQUIPMENT NEEtiED. 3 <br /> Health &Safety Site Plan <br /> 12-40 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", 9116', and 15116"sockets, and other misc tools <br /> ONE 55-gallon drum <br /> GENERAL INFORMATION <br /> Direct all questions to Jaff Auchterlonie, (916)861-0400 ext 223-office <br /> PROJECT MANAGER,Jaff Auchterlonie AUTHORIZATION ___ <br />