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FIELD SERVICES REQUEST <br /> SITE INFORMATION FORM <br /> Identification Project Type Check Appropriate Category <br /> Project# 930-031.21 ❑ Operation & Maintenance ❑ In Budget Site Visit <br /> Station ID# #434 ® Sampling ❑ Out of Budget Site Visit <br /> Site Address: 501 Kettleman Lane ❑ 1st time visit <br /> Lodi ❑ Quarterly Budget Hours: 7 <br /> Lab: Sequoia (Sacramento) ❑ 1st ❑ 2nd ❑ 3rd ❑ 4th Actual Hours: <br /> County: -San Joaquin ❑ Monthly Mob de Mob: 3 <br /> Project Manager: Greg Barclay ❑ Semi-Monthly <br /> Requester. Rusty E. Benkosky ❑ Weekly SiLe Safely Concerns <br /> Client: ARCO ❑ One time event <br /> Client P.O.C: Kyle Christie ❑ Other: <br /> Date of Request: October 25, 1996 Ideal field date:NOVEMBER <br /> Field Tasks General Description <br /> f <br /> Measure DTWIDTL in all wells. <br /> Sample wells (in this order W-1A, W-2, W-3, W-4, W-5 and W-9 FOR GAS STEX and MTBE <br /> List depth of water at time of sample <br /> Need key numbers 0464, 3210 <br /> Approximate pure 50 gallons <br /> C arks from field rzta <br /> 1391 Au�e_D <br /> 5 58rnikp <br /> Sb r4 al leu ay c (N 02Za, -- <br /> Completed By: PAJ� Date: I/ Pacific Enyironmental Group Inc. <br />