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FIELD SERVICES REQUEST <br /> SITE INFORMATION FORM RR", <br /> 1^S�j�E`�;•�sLl'^..k ,n5 .�'`.:s t.�'i r-,...'' Suu:`'1 �"�t _.r. m.��T"_�..ar' =Y !'t' t} - <br /> Identification Prosect Type Check Appropriate Category <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_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 — <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 ❑ One time event <br /> Client P O C Paul Supple ❑ Other <br /> Date of Request 7120100 Ideal field date_ <br /> Field Tasks General Description <br /> 1) Sample system to following schedule <br /> Wells Infl Effi <br /> TPH-g/BTEX/MtBE M <br /> FID M M M <br /> 2) SVE/AS 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 /> A7� <br /> r <br /> Date 3i �U SECOR International In orated <br /> Completed By rA <br />