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FIELD SERVICES REQUEST <br /> SITE INFORMATION FORM <br /> Y I <br /> Identification Project Type Check Appropriate Category <br /> Project # 7G600-026-01 task 109_ ® Operation & Maintenance ® Budget Site Vint <br /> Station ID # ARCO 2093 ❑ Sampling ❑ Out of Budget Site Vint <br /> Site Address 3435 Tracy Blvd ❑ 1st lime visit <br /> Tracy,CA ❑ Quarterly Budget Hours 4 <br /> Lab Sequoia. WAR# 22637 00 _ _ ❑ 1 st ❑ 2nd ❑ 3rd ❑ 4th ctual Hours <br /> go <br /> County San Joaquin ❑ Monthly Mob de Mob — 2 <br /> Project Manager Rusty E Benkosky ® Semi-Monthly X—U '7- Z Z <br /> Requester 8115ly E. Benkosky _ ❑ Weekly Site Safety Concerns <br /> Client ARCO Products Company ❑ One time event <br /> Client P O C Paul _ ❑ Other <br /> Date of Request -eTM15 8 ---I/ Ideal field date <br /> —f—_' <br /> Field Tasks General Description <br /> 1) Sample system to following schedule - <br /> Wells !nfl Eff <br /> 1 (_ F ( 2 �a <br /> TPH-g/BTEX/MIBE M M <br /> FID M M M <br /> 2) Complete data sheet <br /> 3) Gather well field data (FID, flow rate, vacuum) <br /> 4) Call site engineer before leaving site <br /> Q = Quarterly M = Monthly " = When dilution valve is open <br /> Comments remarks from field staff f �a5�'niC <br /> 2 E 1 1 _I_Z�� u rC S_Lw,: L— f s l��t�� <br /> L .._ C � W l a � f7 i!E(� t-{d L b r 1 ` �J► j � JL <br /> L-)A TC_ <br /> *-A <br /> Completed By Date _0 SECOR International Incorporate <br />