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FIE D SERVICES REQUEST <br /> INFORMATION FORM <br /> Identification Project Type Check Appropriate Category <br /> roject# 077.41991.034 ® Operation & Maintenance ® Budget Site Visit <br /> •tation ID # Chevron 9-4275 ❑ Sampling ❑ Out of Budget Site Visit <br /> 4te Address: 2905 Benjamin Holt Drive ❑ 1 st time visit <br /> _ - Stockton, CA ❑ Quarterly Budget Hours: 4 <br /> ab: Sequoia ❑ 1st ❑ 2nd ❑ 3rd ❑ 4th Actual Hours: <br /> — <br /> ;ounty: San Joaquin ❑ Monthly Mob de Mob: 2 <br /> 'roject Manager:Rusty E. Benkosky ® Semi-Monthly <br /> Zequester: Demian Wincele ❑ Weekly Site Safety Concerns <br /> ;tient: Chevron Products Company_. ❑ One time event <br /> ;tient P.O.C: Bob Cochran ❑ Other: <br /> )ate of Request: 7120100 Ideal field date: <br /> =ield Tasks General Description <br /> 1) Sample system to following schedule. SVE system is currently off due to flooded well screens. <br /> . Wells lnfl Effl <br /> TPHg/BTEX/MtBE M M <br /> FID M M M <br /> 2) Complete data sheet. <br /> 3) Gather well field data (FID, flow rate,vacuum). <br /> 4 Call site engineer before leaving site. <br /> Q=Quarterly M =Monthly <br /> Comments, remarks from field staff <br /> C� a <br /> Completed By�T��� Date: ���� SECOR International Inco r?orated <br />