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FIELD SERVICES REQUEST <br /> SITE INFORMATION FORM <br /> Identification Prolect Type Check Appropriate Category, <br /> Project# 770T.43622 010010 0 Operation & Maintenance 0 Budget Site Visit <br /> Station ID # Ranch Market [] Sampling Out of Budget Site Visit <br /> Site Address 23569 South Santa Fe Road F� 1 st Time Visit <br /> Riverbank, CA Quarterly Budget Hours 4 onsite <br /> Lab Kiff Analytical —1st _2nd —3rd —4th Actual Hours <br /> County San Joaquin FX Monthly Mob/de Mob 3 <br /> Project Manager Jeff Auchterlonie Semi-Monthly <br /> Requester Brian Carey Weekly Site Safety Concerns <br /> Client Mohamed and Huda Gubaty Fj One Time Event <br /> Site P O C Ken Randhawa Mena er Other <br /> Date of Request Field Date <br /> Field Tasks General Description <br /> 1) Sample system to following schedule <br /> 7MMMMM <br /> TPHg/BTEX/MTBE - EPA 8260B M ' M <br /> FID M M M <br /> Q = Quarterly M = Monthly <br /> 2)Complete data Sheet <br /> 3)Gather well field data(FID,flow rate, vacuum, active ozone wells) <br />— =4)Call site engineer-before-leaving site = __— <br /> Comments/ Remarks from Field Staff <br /> n U <br /> t � S�Aif.; s� s� t�8 w�1�. �.d_ uE �L.wr. {�� W►a� tH �� ��ti <br /> _�,. ►Its„ _i_-t-E�.p kA\1 -6�1 c,EL1 <br /> s" Z 1^0,\, �za - Z- - EL —. <br /> -is <br /> ,1*' z S�1 Skcr. o� la a <br /> Completed By: Date: SECOR <br /> Intemaponallneorporated <br />