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FIELD SERVICES REQUEST <br /> S INFORMATION FORM <br /> 5 ' <br /> Identification Prosect Type Check Appropriate Category <br /> ofect# ® Operation & Maintenance ® Budget Site Visit <br /> ation ID # ARCO 2093 ❑ Sampling ❑ Out of Budget Site Visit <br /> to Address ❑ 1 st time visit <br /> Tracy. CA ❑ Quarterly Budget Hours 4 <br /> 3b Sequoia ❑ 1st ❑ 2nd ❑ 3rd ❑4th Actual Hours <br /> ounty San Joaquin ❑ Monthly Mob de Mob 2 <br /> roject Manager Rusty Benkosky _ ® Semi-Monthly <br /> equester Rusty Benkosky_ ❑ Weekly Site Safety Concerns <br /> tient ARCO Products Company ❑ onetime event <br /> CO Products Company ❑ Other / <br /> tient P O C Paul Su le Ideal field date2 r W <br /> ate of RequeS /0/1 <br /> t J / G U <br /> field Tasks General Description <br /> $ample'-$y t m f If n f VE it r <br /> Wells Infl Effl <br /> TPH-g/BTEX/MtBE M <br /> FID M M M <br /> 2) Complete data sheet <br /> 3) Gather well field data (FID, flow rate, vacuum)from manifold and well heads <br /> 4) Call site engineer before leaving site <br /> Q = Quarterly M = Monthly =When dilution valve is open <br />'.omments remarks from field staff <br /> Tom, - <br />:,ompleted B Date <br /> 1 V W SECOR International Incorporated <br />