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FIELD SERVICES REQUEST <br /> LTE INFORMATION FORM E,+ ' `�.' r' f� rffi " <br /> Identification Protect Type Check Appropriate Category <br /> Project# 077 41930 190 ® Operation & Maintenance ® Budget Site Vint <br /> Station ID # ARCO 2133 ❑ Sampling ❑ Out of Budget Site Visit <br /> Site Address 2908 Benjamin Holt Drive ❑ 1 st time visit <br /> Stockton, CA ❑ Quarterly Budget Hours 4 <br /> Lab Sequoia, WAR#24011 00 ❑ 1 st ❑ 2nd ❑ 3rd ❑ 4th Actual Hours,. S 0 <br /> County San Joaquin ❑ Monthly Mob de Mob 2 <br /> Protect 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 r� Ideal field dat 7- 6 <br /> Field Tasks General Description <br /> 1) Sample system to following schedule <br /> • Wells Infl Effl <br /> TPH-g/BTEX/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=Quarterly M = Monthly <br /> Comments remarks from field staff <br /> Completed By Date -, _,2 1 ` U-1) SECOR International Incorporated <br />