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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 z/i f-/0 3 <br /> Manteca, CA DATE PREPARED 07/15/03 <br /> REPARED FOR Tom Miller PREPARED BY Brian Care <br /> WORK REQUEST FORM <br /> 8iLOPE OF VYORK �r f1tJ RTER 2043 ' MONITOR AND AM LE 4 V'YELLS <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 209 823-4310, Franchisee Evan Nino <br /> 2 Oen wells shown on attached table and let groundwater levels equilibrate DTV 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 readin s 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 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 four 4 40-m1 preserved VOAs from the well BTEX,TPI-19,&6 Oxygenates 626013 <br /> 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 82606 on"Standard Turnaround" <br /> 8) Deliver all samples_ to Kill Analytical @ 2796 2nd Street,Suite 300, Davis,CA 96616 <br /> 630 297-4800 _. ..,,_ <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 lob and attach with field notes <br /> 11) Give copies of all notes and COC's to Brian Carey,ASAP <br /> 12)_ _ Bill Travel time to 77EL 2_1766 03 0711 <br /> Bill labor time to 77EL 21766 03 0703(not to exceed 3 0 hours onsite labor) <br /> [R—QUIPMENfNEOWD. <br /> Health&Safety Site Plan <br /> 16-40 ml preserved(HCI)VOAs bring extra containers)and cooler with foe <br /> Grunfos Pump System, pH[Temp/Gond Meter, DO Meter, Disposable <br /> le Bailers, COC's,drum labels,etc <br /> 1/2", 9116',and 15116"sockets,and other misc tools _ <br /> ONE 66-gallon drum <br /> dENERAL I1 oR ATION <br /> Direct all questions to Jaff Auchterionie, 916 861-0400 ext 223-office <br /> PROJECT MANAGER, Jaff Auchterlonie AUTHORIZATION <br />