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1 <br /> FIELD SERVICES REQUEST <br /> �� <br /> �, <br /> TE INFORMATION FORM <br /> i xusa ; ��r �' o� r r 'p z"f ? ,€ ,.` a ;+rA•sia�� P . ; 5"i <br /> Identification Proiect Type Check Appropriate Category <br /> Project# 077 41930 190 ® Operation & Maintenance ® Budget Site Visit <br /> Station ID # ARCO 9133 ❑ Sampling ❑ Out of Budget Site Visit <br /> Site Address 2908 Benlamin Holt Drive ❑ 1st 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 Rusty E Benkosky ❑ Weekly Site Safety Concerns <br /> Client ARCO Products Company ❑ One time event <br /> Client P O C Paul Supple ❑ Other C <br /> Date of Request -412 Vj Ideal field date <br /> W <br /> 4 <br /> Field Tasks General Description <br /> 1) Sample system to following schedule <br /> Wells Inti Effl <br /> TPH-g/BTEXIMtBE M M <br /> FID M M M <br /> 2) SVE/AS system Leave SVE down, GW is to high <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 /> UCompleted B Date1-00 <br /> Y SECOR International Inco rporated <br /> — <br />