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FIELD SERVICES REQUEST <br /> SITE INFORMATION FORM <br /> Identification Project Type Check Appropriate Cate�rorv_ <br /> Project # 77BP 54932 03 0335 Operation & Maintenance ❑X Budget Site Visit <br /> Station 1D # ARCO 4932 Sampling ❑ Out of Budget Site Visit <br /> Site Address 16,E Harding Way F-1 1st Time Visit <br /> Stockton, CA 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 Citnt Harms Weekly Site Safety Concerns <br /> Client Atlantic Richfield(BP) One Time Event See Health and Safety Plan <br /> Client P O C Paul su ple F� Other <br /> Date of Request f r/6'1 Field Date <br /> Field Tasks General Description <br /> 1 Sample SVE system(bag samples)according to the following schedule <br /> ev PPpr 3 y5� <br /> TPHg/BTEX/MtBE-EPA 82608 M M M <br /> . FID M M M M <br /> 2 <br /> Sample GWE s tem water sam les according to the following schedule <br /> ff <br /> fBTEX/MtBE-EPA 82608(3 preserved voas) --4::ZV ;Q 9`.0 <br /> TPHOTEX/MtBE-EPA 82608 M M M ---- M <br /> V TPH-EPA 418 1(2 preserved ambers) --- — — M <br /> pFi EPA 150 1(1-500 ml ) — — — M <br /> Total Cadmium,chromium,copper, <br /> lead, nickel,zinc EPA 200 Series — — — A — <br /> Total Toxic Organics 40 CFR 413 --- -_ L, — q <br /> 3 M=Month[ <br /> Q=Quarterly,Quarterly samples=Jan,April,July, Nov <br /> A=annually,Annual=April <br /> 4) Call site engineer before leaving site <br /> Comments 1 Remarks from Field taff <br /> _ °,- o sts"r► 1112 ovo <br /> Completed By Date SECOR <br /> K 510CTM61Ie4Q 3eMCe KCq,,C inlemalional InCorporaled <br /> l <br />