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FIELD SERVICES REQUEST <br /> E INFORMATION FORM <br /> Identification Pro ect Type Check Appropriate Category <br /> Project# 07741928 190 Operation & Maintenance [X Budget Site Visa <br /> Station ID # ARCO2093 El Sampling E] Out of Budget Site Visit <br /> Site Address 3435 Tracy Blvd [:] 1 st Time Visit <br /> Tracy, CA ❑ Quarterly Budget Hours <br /> Lab Sequoia —1st —2nd _3rd _4th Actual Hours <br /> County San Joaquin EX Monthly Mob/de Mob Z <br /> Project Manager Rusty Benkosky Ej Semi-Monthly <br /> Requester Demian Wincele F1 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 <br /> Field Tasks General Description <br /> 7 Sample SVE system (bag samples) according to the following schedule <br /> Wells, `t-SVE Influent wSVE Effluent <br /> . TPHg/BTEX/MtBE M <br /> FID M M M <br /> M=Monthly Q=Quarterly,samples=Jan,April,July, Nov <br /> 2 Complete the data sheet <br /> 3 Call site engineer before leaving the site <br /> Comments/ Remarks from Field Staff <br /> .�.� b <br /> 6 <br /> &pleted By Date SECOR <br /> tntemanonal lmaporated <br /> iS'1heRn6ww"Sam"Request%Is <br />