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FIELD SERVICES REQUEST <br /> SITE INFORMATION FORM <br /> Identification Pro ect Type Check Aporopriate Category <br /> olect# 077 41930 190 ® Operation & Maintenance ® Budget Site Visit <br /> ation ID # ARCO 2133 ❑ Sampling ❑ Out of Budget Site Visit <br /> to Address 2908 Ben amen Holt Drive ❑ 1st time visa <br /> Stockton CA ❑ Quarterly Budget Hours 4 <br /> 4-4 � <br /> ib Sequoia, WAR# 24011 00 ❑ 1st [:] 2nd ❑ 3rd [:] 4th Actual Hours <br /> aunty San Joa uin ❑ Monthly Mob de Mob 2 <br /> olect Manager Rusty E Benkosk ® Semi-Monthly <br /> �quester Demian Wincele ❑ Weekly Site Safety Concerns <br /> lent ARCO Products Company ❑ onetime event <br /> tent P O C Paul Supple ❑ Other <br /> ate of Request 7120100 Ideal field date-- <br /> �/ Z7 <br /> ield Tasks Genera! Description <br /> 1) Sample system to following schedule <br /> Wells Intl Effl i <br /> TPH-g/BTEX/MtBE M <br /> PID M M M <br /> 2) SVEIAS system _ <br /> 3) Gather AS system data from manifold and well heads <br /> 4) Call site engineer before leaving sate - <br /> Q=Quarterly M =Monthly <br /> :omments remarks from field staff <br /> �rDate. SECOR International Incorporate <br /> ompleted d <br /> : By- ��� <br />