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FIELD SERVICES REQUEST <br /> SITE INFORMATION FORM Parcel 2A-SPH Removal <br /> Identification Project Type Check Appropriate Category <br /> Project#: 211602258.400.400 Operation & Maintenance x] Budget Site Visit <br /> Station ID #: Parcel 2A-Tidewater Stockton ❑ Sampling ® Out of Budget Site Visit <br /> Site Address: 666 West WeberAvenue R 1st Time Visit <br /> Stockton, California RX Quarterly Budget Hours: <br /> Lab: HA _1st _2nd x 3rd _4th Actual Hours: <br /> County: San Joaquin ❑ Monthly Mob/de Mob: <br /> Project Manager: Dan Schreiner ❑ Semi-Monthly <br /> Requester: Tony Giglini ® Weekly Site Safety Concerns <br /> Client: Chevron/ConocoPhillips ® One Time Event Please Read HASP and <br /> Client P.O.C: Rick Rittenberg/Eric Hetrick Other: conduct a tailgate meeting <br /> Date of Request: 711312011 Field Date: 711412011 prior to beginning work. <br /> Field Tasks General Description <br /> 1) 5:00 am-Stantec to meet Nieto and Sons for Belshire on site GATE COMBO: 0415 Tools for Stantec Staff: <br /> 2) Conduct a tailgate meeting 1) Interface probe <br /> 3 Check HASP and Nieto Sons/Belshire certifications 2) Deionized water <br /> 4) Belshire extract SPH from monitoring wells: 3) Paper towels <br /> 2A-MW-13, MW-17, MW-19, MW-43, MW-46, MW-47, MW-48, MW-49 4) 2- 5 gallon buckets <br /> MW-50, MW-52 5) Nitrile gloves <br /> 5) Belshire decontaminates extraction device between each extraction 6) Clipboard and pen <br /> 6 Stantec staff responsible for traffic control (delineators) 7) Delineators <br /> 7) Stantec staff fill data sheets 8) Trash bag <br /> 8) Once Belshire is finished, Stantec staff gauge and log wells 9) Ratchet Set <br /> 9) Belshire Vac Truck will slurp remaining product from system se erator <br /> 10) Note:Wells MW-4, MW-10,and MW-40,typically part of extraction;were abandoned <br /> Comments / Remarks from Field Staff <br /> Tony Giglini cell: (916)752-7159, Dan Schreiner: (916) 861-0400 x227, cell: (916)475-7605 <br /> Belshire Contact: Erin Mahler(949)460-5200-Ask for Erin Mahler <br /> Belshire Driver: Lupe Flores 714) 240-1298 <br /> �x T/CtCTC 61 /,f24 (�,� 1 <br /> Completed By: s ����, y7y7�yy7�^ Date: ��y f <br />