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FIELD SERVICES REQUEST <br /> [SITE INFORMATION FORM <br /> Identification Protect Type Chec!APPr!oPr1ate <br /> Project # 77BP 54932 03 0335 Operation & Maintenance EX Budget Site Visit <br /> Station ID # ARCO 4932 El Sampling ❑ Out of Budget Site Visit <br /> Site Address 16 E Harding Way ❑ 1 st Time Visit <br /> Stockton, CA El Quarterly Budget Hours <br /> Lab Sequoia _1st _2nd 3rd 4th Actual Hours <br /> County San Joaquin Monthly Mob/de Mob <br /> Project Manager Rusty Benkosky _ [X Semi-Monthly <br /> Requester Clint Harms Weekly Site Safety Concerns <br /> Client Atlantic Richfield LBP} One Time Event See Health and Safety Plan <br /> Client P O C Paul Supple Other <br /> Date of Request Field Date —S d <br /> Field Tasks General Description <br /> 1 <br /> Sample SVE system (bag samples)according to the folloyAng schedule <br /> en peri sa �r i/' <br /> TPHg/BTEX/MtBE-EPA 82808 M M M <br /> FID M M M M /IDU <br /> 2 <br /> Sample GWE system LvSter samples)according to the following schedule <br /> BTEX/MtBE-EPA 826013(3 preservedvaas — 7777 <br /> M <br /> TPHg/BTiE=XIMtBE-EPA 82608 M -- M <br /> TPH-EPA 418 1(2 preserved ambers) — — M <br /> pH EPA 150 1(1-500 as p2W — — — M <br /> Total Cadmium,chromium,copper, <br /> lead,nickel,zinc EPA 200 Series — -- A <br /> Total To)dc QManics 40 CFR 413 --- --- A <br /> 3 M=Monthly 5 J I I '� ({ L l l 1 3 [ <br /> Q=Quarterly,Quarterly samples=Jan, dl,July,Nov <br /> A=annually,Annual= ril <br /> 4 Call site engineer before leaving site <br /> Comments t Remarks from Field Staff <br /> Completed By Date 6 SECOR <br /> K WOm141W1114 S[M CC li"uC sl n15 <br /> Inlemallo al Incwpwaled <br />