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FIELD SERVICES REQUEST <br /> E INFORMATION FORM ...,n�;.,x '. t<. .-. z ;..-' `max� w .. <br /> ';2�,s -� .t 4 � :�;v-.-� �' �=-www} <br /> 'Zw"-�Y t'�.�.t .} } ?M ix v4 A nv 2 4. .h � vY .2i` <br /> Identification Project Type Check Appropriate Category <br /> Project # 7GO07-032-01 task 1 ® Operation & Maintenance ® Budget Site Visit <br /> Station ID # Chevron 9-4275 ❑ Sampling ❑ Out of Budget Site Visit <br /> i <br /> Site Address 2905 Benjamin Holt Drive ❑ 1st time visit <br /> Stockton, CA ❑ Quarterly Budget Hours 4 <br /> Lab Sequoia, SO# 9030819 ❑ 1st ❑ 2nd ❑ 3rd ❑ 4(h Actual Hours �� U <br /> County San Joaquin ❑ Monthly Mob de Mob 2 <br /> Project Manager Rusty E Benkosky ® Semi-Monthly <br /> Requester Rusty E. Benkosky ❑ Weekly Site Safety Concerns <br /> Client Chevron Products Company ❑ One time event <br /> I <br /> Client P O C Brett Hunter ❑ Other <br /> Date of Request _ G'L Ideal field datee�7 <br /> V1. 1 - �-II(,`)2 vol 101 t`lC <br /> Field Tasks General Description <br /> 1) Sample system to following schedule <br /> K: Wells left eft <br /> TPH-g/BTEX/MtSE M x 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 /> f <br /> r f M L mac.rte. <br /> SErt� bF� y2p_�L � �^� <br /> Completed B Date. SECOR International Incorporated <br />