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FIELD SERVICES REQUEST <br /> SITE INFORMATION FORM <br /> i <br /> Pro} Identification Project Type Check ro rlate Cate <br /> ect # 778P 54937 03 0335 <br /> ❑K Operation & Maintenance ❑X Budget Site Visit <br /> Station ID# ARCO 4932 ❑ Sampling <br /> Site Address 16 E Harding Way El s <br /> ❑ Out of Budget Site Visit <br /> t Time Visit <br /> LabStockton, CA ❑ Quarterly Budget Hours <br /> Se qp/$ 1st �2nd �3rd �4th <br /> CountyActual Hours <br /> San Joaquin —❑ Monthly Mob/de Mob <br /> Project Manager Rusty Benkosky Q Semi-Monthly <br /> ' Requester cllnt Harms E] Weekly <br /> Gient Aflarrtic Rlchfreld 8P Site Safety Concerns <br /> ❑ One Time Event See Health and SarefyPlan <br /> ' Client P O C. Paul Suppf, ❑ Other <br /> Date of Request. Lr1 Field Date <br /> G <br /> ' Field Tasks General DeSCri tion <br /> 1 Sant le SVE system bag sam les 800ording to tate following schedule <br /> rives i v z; <br /> 7FRID <br /> WtBE-EPA 82608 M M M <br /> M M M M off /CJi r <br /> 2 <br /> Sample GWE tem water sam fes 2000rdi to the fatiowing schedule <br /> 1INN <br /> BZEX/MtBt:-EPA 82608 vnas -- M <br /> TPt2T ME-EPA 82608 M M M <br /> TPH-EPA 4181 M <br /> ambers M <br /> pH EPA 160.1(1-500 mt pot _ M <br /> Total Cadmium,chromium,capper, <br /> lead.nickel,zinc EPA 200 Series A <br /> ' Total Toxic Organics 40 CFR 413 r A <br /> _;)-M=Monthl i a o i E Sv' /Q Q=Quarterly,Quartets sam les=Jan,April, July. Nov <br /> A=annually,Annual=Atmi <br /> 4 Call site engineer before leaving site <br /> Comments 1 Remarks from Field Staff <br /> jF <br /> Completed B Date T SECOn <br /> �R W OTMW 101tl SeML!HeQue 1 SIS IILIEYti�lOfl01 M poraled <br />