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FIELD SERVICES REQUEST <br /> rkNry����k �h °yti <br /> SITE INFORMATION FORM <br /> �e fti hft i <br /> Identification Pra ect Type Check Appropriate Cate o <br /> Project# 07741928 190 QX Operation & Maintenance 0 Budget Site Visit <br /> Station lD# ARCO 2093 F-1 Sampling LJ Out of BUagel Site Visit <br /> Site Address 3435 Tracy Blvd _ [:] 1st Time Visit <br /> Tracy, CA ❑ Quarterly Budget Hours <br /> Lab Sequoia —1st —2nd _3rd —4th Actual Hours <br /> County San Joaquin ❑X Monthly Mob/de Mob <br /> Protect Manager Rusty Benkosky Semi-Monthly <br /> Requester Demian Wincele ❑ Weekly Site Safety Concerns <br /> Client Atlantic Richfield Company One Time Event See Health and Safety Plan <br /> Client P O C Paul Supple Other <br /> Date of Request Field Date 7 a j <br /> Field Tasks General Description <br /> 1) Sample SVE system (bag samples) aocording to the following schedule <br /> els VE i luent S,VE; fHuent , s <br /> TPHgBTEX/Mtl3E M <br /> FID M M M <br /> M=Monthly 0=Quarterly,samples=Jan,April,July,Nov <br /> 2 Complete the data sheet <br /> Comments / Remarks from Field Staff <br /> AJ,a / Oa <br /> d fI'D�cf��h <br /> Completed By: Date: 7�a f SECOR <br /> Intematk nW Inconmrated <br /> K.-d-W=V-WM Service Bequest Ws <br />