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FIELD SERVICES REQUEST <br /> OEM <br /> • SITE INFORMATION FORM <br /> Identification PrQiectZpe Check Appropriate Cateyonc <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) ❑ 1 st ❑2nd ❑ 3rd ❑ 4th Actual Hours <br /> County San Joaquin ❑ Monthly Mob de Mob 3 <br /> Project Manager Greg Barclay ❑ Semi-Monthly <br /> Requester RustyE Senkosky ❑ Weekly Site Safety Concerns <br /> Client ARCO ❑ One time event <br /> Client P 0 C Kyle Christie ❑ other <br /> Date of Request May 1, 1996 Ideal field date May 2, _1.996 <br /> Field Tasks General Description. <br /> => Measure DTW/DTL in all wells <br /> Sample wells (in this order)W-5, W-1 A,W-9, W-2, W-3, W4 for TPH g_and_BTEX <br /> List DTW at time of sample <br /> => Need key numbers 0464, 3210 <br /> => Approximate purge 50 gallons <br /> Comm n p. remarks from field staff <br /> 7 bj� ) <br /> Completed BY Date Pacific Environmental,Group. Inc. <br />