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FIELD SERVICES REQUEST <br /> SITE INFORMATION FORMiiiiim <br /> Identification Pro ect Type Check Appropriate Cate$ory <br /> Project# 77BP 54932 03 0335 ❑X Operation & Maintenance Budget Site Visit <br /> Station ID # ARCO 4932 <br /> 1:1Sampling Out of Budget Site Visit <br /> Site Address 16 E Harding Way ❑ 1st Time Visit <br /> Stockton, CA E] Quarterly Budget Hours <br /> Lab Sequoia <br /> County —1st —2nd _3rd 4th Actual Hours <br /> San Joa u1n Mob/de Mob <br /> Project Manager Rus 6enkosk ❑ Monthly <br /> �X Semi-Monthly Requester Clint Harms ❑ Weekly <br /> Client Atlantic Richfield BP Site Safety Concerns <br /> One Time Event See Health and Safe Plan <br /> Client P O.0 Paul Supple r <br /> ' Date of Request. OUher <br /> �� Field Date — 0 <br /> I ' Field Tasks General Description <br /> 'l Sample SVE system(bag samples)according to the following schedule <br /> a.Nt i t< <br /> TPHgIBTEYimU3E-EPA 8260E M MM N7, of it I to Ftb M M M M C, <br /> 2 Sample GWE system(water sam Pi <br /> 11'''es)according to the following schedule <br /> 1 i ga <br /> BTEX/MtsE-EPA 826oe(3 Preserved M TPH91BTEXIMtBE-EPA 82608 M M M <br /> M <br /> TPH-EPA 418 1(2 Preserved ambers) _ M <br /> pH EPA 1501(1-500 ml poly) <br /> Total Cadmium,chromium,copper, <br /> lead,nickel.zinc EPA 200 Series — A <br /> Total Toxic Organics 40 CFR 413 A <br /> 3 M=Monthly <br /> ' Q=Quarterly.Quarterly samples=Jan,April,July, Nov <br /> A=annual! .Annual=April <br /> 4 Call site engineer before leaving site <br /> Comments ! Remarks from Field Staff <br /> 1 <br /> Completed By Date - SECOR <br /> ' OrtNiV add]en,are i<PG'r ' 't Inllrnalpnil.,G porated <br />