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FIELD SERVICES REQUEST <br /> J'WE INFORMATION FORM _ <br /> Identification Project Type Check Appropriate Catego� <br /> Project# 077 41930 190 ® Operation & Maintenance ® Budget Site Visit <br /> Station ID # ARCO 2133 ❑ Sampling ❑ Out of Budget Site Visit <br /> Site Address 2908 Beniamm Holt Drive ❑ 1 st time visit <br /> Stockton. CA _ ❑ Quarterly Budget Hours 4 <br /> Lab Sequoia, WAR# 24011 00 ❑ 1 st ❑ 2nd ❑ 3rd ❑ 4th Actuat Hours °Z'a <br /> County San Joaquin ❑ Monthly Mob de Mob 2 <br /> Project Manager Rusty E Benkosky ® Semi-Monthly <br /> Requester Demian Wincele ❑ Weekly Site Safety Concerns <br /> Client.ARCO Products Company ❑ onetime event <br /> Client P O C Paul Supple ❑ Other <br /> Date of Request 7120100 Ideal field dat <br /> Field Tasks General Description <br /> 1) Sample system to following schedule <br /> Wells infl Eff{ <br /> TPH-g1BTEX/MtBE M <br /> FID 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 site. <br /> Q=Qtmrterly M=Monthly <br /> Comments remarks from field staff <br /> Completed By �� ��� ��Date SECOR lnferriafronal Inco arafed <br />