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Irl <br /> FIELD SERVICES REQUEST <br /> SI INFORMATION FORM <br /> Identification Prosect Type Check Appropriate Cate o <br />)sect# 077 41930 190 ® Operation & Maintenance ® Budget Site Visit <br /> ition ID# ARCO 2133 ❑ Sampling ❑ Out of Budget Sste Visit <br /> e Address 2908 Beniamin Holt Drive ❑ ist time visit <br /> Stockton. CA ❑ Quarterly Budget Hours 4 <br /> b Sequoia, WAR## 24011 00 ❑ 1 st ❑ 2nd ❑ 3rd ❑ 4th Actual Hours eJ <br /> runty San Joaquin ❑ Monthly Mob de Mob 2 <br /> olect Manager Rusty E Benkosky ® Semi-Monthly <br />.quester Demian Wincele ❑ Weekly Site Safety Concerns <br /> ient ARCO Products Company ❑ onetime event <br /> sent P O C Paul Supple _ ❑ Other <br /> ite of Request 7120100 Ideal field dat C= �� G <br /> ield Tasks General Description <br /> 1) Sample system to following schedule <br /> Wells Infl Effl <br /> [FID <br /> PH-g/BTEX/MtBE M <br /> M M M <br /> 2) SVEJAS system <br /> 3) Gather AS system data from manifold and well heads <br /> 4) Call site engineer before leaving site <br /> Q=Quarterly M=Monthly <br />;omments remarks #rom field staff <br /> 47 <br /> r <br /> G <br />�1 <br />:ompleted By`��<<��Date l d SECOR lntematronal Incorporated <br />