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FIELD SERVICES REQUEST <br /> .` <br /> ORMATION FORM <br /> 1NF <br /> Identification Protect Type Check Appropriate Catepocy <br /> "roject# 7GO07-032-01 task I ® Operation & Maintenance ® Budget Site Visit <br /> station ID # Chevron 9-4275 ❑ Sampling ❑ Out of Budget Site Visit <br /> site Address 2905 Benjamin Halt Drive ❑ 1 st time visit <br /> Stockton CA ❑ Quarterly Budget Hours 4 <br /> _ab Sequoia, SO# 9030619 ❑ 1st ❑ 2nd ❑ 3rd ❑ 4th Actual Hours <br /> _'ounty San Joaquin ❑ Monthly Mob de Mob 2 <br /> 3rojecl Manager Rusty E Benkosky ® Semi-Monthly <br /> 1equester ❑ Weekly Site Safety Concerns <br /> .Hent Chevron Products Company ❑ onetime event <br /> ;hent P O C Brett Hunter ❑ Other <br /> ]ate of Request /(�J <br /> Ideal field date �^" (z <br /> 01. 1 Ll IGyoi 10`1 LIC <br /> Field Tasks General Description <br /> 1) Sample system to following schedule <br /> Wells infl Eff <br /> 1 <br /> TPH-g/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 ` = When dilution valve is open <br /> Comments remarks from field staff <br /> Completed By"-Date ' �� SECOR International Incorporated <br />