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FIELD SERVICES REQUEST <br /> �{ <br /> :,sx Na��Kn},?xi@ }:.,^'.�?�Vr�+.<:x�".'„:a:��Y�:z•x}xb2Y.,,'"x'Y"s}..Y'.�*,�`,x.>.,c��x}µ,.tt\.. «•.z3x<t ru . i �ewxNMI INFORMATION FORM <br /> h „ <br /> y�.x•\i�i•O�.}Y+�'i n 7. x`": s*`o-'2 C•2'•,i` cw,..+`�, Y'i CY�ti� <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 /> Site Address 2905 Benjamin Holt Drive ❑ 1st time visit <br /> Stockton, CA ❑ Quarterly Budget Hours 4 <br /> Lab _ Sequoia, SO# 9030619 ❑ ist ❑ 2nd ❑ 3rd ❑ 4th Actual Hours <br /> County San Joaquin ❑ Monthly Mob de Mob 2 <br /> Project Manager Rusty E Benkosky ® Semi-Monthly <br /> Requester- Rug ty_E. Benkosky ❑ Weekly Site Safety Concerns <br /> Client Chevron Products Company ❑ One time event <br /> Client P O C Brett Hunter ❑ Other <br /> Date of Request Ideal field date <br /> � 1 LIl(,1'L vvi 7�� t`lC <br /> Field Tasks General Description <br /> 1) Sample system to following schedule <br /> Wells lnfl Eff <br /> I <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 /> 1.2�l3ar� to rJ�.rr <br /> Completed By: Date: SECOR International Incorporated <br />