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b Si <br /> FIELD SERVICES REQUEST <br /> SITE INFORMATION FORM <br /> Identification Prosect Type Check Appropriate Cate o <br /> Project# 70007-032-01 task 1 ® Operation & Maintenance ® Budget Site Visa <br /> Station 1D # Chevron 9-4275 ❑ Sampling ❑ Out of Budget Site Visa <br /> Site Address 2905 Benjamin Holt Drive ❑ 1st time visa <br /> Stockton, CA ❑ Quarterly Budget Hours 4 <br /> Lab Sequoia SO#9030619_ ❑ 1st ❑ 2nd ❑ 3rd ❑ 4th Actual Hours (J <br /> County San .Joaquin ❑ Monthly Mob de Mob 2 <br /> Project Manager Rusty E Benkosky ® Semi-Monthly <br /> Requester Rusty F. Renkosky ❑ Weekly Site Safety Concerns <br /> Client Chevron Products Company ❑ onetime event <br /> Client P O C Brett Hunter ❑ Other <br /> Date of Request Ideal field date Z.S <br /> Field Tasks General Descrytion <br /> 1) Sample system to following schedule <br /> 0 r 1l11elIs Inft Eff <br /> TPH-g/BTEX/MtBE M M <br /> FID M M M , r <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 /> /1146 cfr�___ .4 41Sti c/t� c' r � 3 f <br /> cc <br /> 1 <br /> Z_ <br /> Completed Date 1` Z `' r SECOR International Incorporated <br />