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FIELD SERVICES REQUEST <br /> OITE INFORMATION FORM <br /> Identification Project Type Check Appropriate Cate o <br /> Project # 07743235 190 Operation & Maintenance Budget Site Visit <br /> Station lD# ARCO 2133 E] Sampling Out of Budget Site Visit <br /> Site Address 2908 Benjamin Holt Dr 1 st Time Visit <br /> Stockton, CA Ouarterly Budget Hours 4 <br /> Lab Sequoia _1st _2nd 3rd _4th Actual Hours <br /> County San.Joaquin Monthly Mob/de Mob 2 <br /> Project Manager Rusty Benkosky Semi-Monthly <br /> Requester Demian Wincele F� Weekly Site Safety Concerns <br /> Client Atlantic Richfield Company ❑ One Time Event See Health and Safety Plan <br /> Client P O C Paul Supple ❑ Other <br /> Date of Request 8-Feb Field Date <br /> Field Tasks General Description <br /> 1 Sample SVE system (bag samples) aocording to the following schedule <br /> '�"C �r os_AS'�! .t ra4 s�t� ,r^ws *.^rte a <br /> _�Wells�� � SVE�Infiaent� SVE Effluent <br /> TPHgJBTEX/MtBE M <br /> FID M M M <br /> M=Monthly Q=Quarterly,samples=Jan,April,July, Nov <br /> 2 Collect data <br /> 3)Complete the data sheet <br /> 4�Call site engineer before leaving site <br /> Comments / Remarks from Field Staff <br /> mpleted By. �-P� Date f—/-/ 2/ *DECOR <br /> Intem anonal Incorporated <br /> K0' 'WiSIG aernce tteques[ins <br />