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i i► <br /> FIELD SERVICES REQUEST <br /> I . r,.Y:}:t i s a`` .•�.,` ` .'.s *A.k.chZ k ty`.E"``i.<V<A}: <:<s <br /> ITE INFORMATION FORM <br /> Identification Protect Type Check ApIMRELgte Category <br /> Project # 70007-032-01 task 1 ® Operation & Maintenance ® Budget Site Vint <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 ❑ 1st ❑ 2nd ❑ 3rd ❑ 4th Actual Hours <br /> County San Joaquin ❑ Monthly Mob de Mob 2 <br /> Project Manager Rusty E Benkosky ® Semi-Monthly <br /> 71—/L4.L&_3 <br /> Requester Rusty E. Benkosky ❑ Weekly Site Safety Concerns <br /> Client Chevron Products Company ❑ Onetime event <br /> Client P O C Brett Hunter ❑ Other <br /> Dale of RequestA F Ideal field date g <br /> Field Tasks General Description <br /> 1) Sample system to following schedule <br /> Wells Inft Eff <br /> i- <br /> TPH-9/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 /> i S4tAl LJ LG �lEr4li rd0,!5-le Ca, j /rr6 <br /> r <br /> UJ 1 i <br /> L tc ► 1� h N . _ ]� 1 1 1 t 5 I t o~� <br /> I` <br /> t0 <br /> Completed B Date ` ` , SECOR International Incorporated <br />