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FIELD SERVICES REQUEST <br /> SITE INFORMATION FORM so I I . I <br /> .% In= <br /> Identification Project Type Check Appropriate Category <br /> Project # 77BP 54932 03 0335 <br /> 0Operation 8 Maintenance 0 Budget Site Visit <br /> Station ID # ARCO 4932 ❑ Sampling <br /> Site Address 16 E Hardin Way <br /> ❑ Out of Budget Site Visit <br /> 9 ❑ 1st Time Visit <br /> Lab Sequala <br /> Stockton, CA ❑ Quarterly Budget Hours County <br /> _onth)— <br /> 1st 2nd and 4th Actual Hours <br /> San Joa uln y Mob/do Mob <br /> Project Manager Rus ❑ MBenkosk ❑X Semi-Monthly <br /> Requester Clint Harms ❑ Weekly <br /> Client Atlantic Rfcht7eld BP Site SafetyConcerns <br /> E] One Time Event See Health and Safqy Plan <br /> Client P O C Pau!Supple ❑ Other <br /> Date of Request —7 ryJ ; ' <br /> Field Date �j � —a <br /> f' Fie[d Tasks General Description <br /> 'i Sam le SVE s tem bag samples according to the following schedule <br /> Mea 9 <br /> TPHgMTEY/MtBE-EPA 826013 M M rf / <br /> FID M M <br /> 2 Sample GWE system water samples)according to the following schedule <br /> _ a � <br /> S'CEXIMME-EPA 82me(3 Preserved was) r — M � <br /> ' n'H9BTEXiMt3E-EPA 82606 M M M <br /> Tl'H-EPA 418 1 M <br /> (2 P�rved ambers) — M <br /> ' pH EPA 1501(1-Soo mi poly) — — M <br /> Total Cadmium,chromium,copper, <br /> lead.nickel.zinc EPA 200 Series <br /> ' Total Toxic Organics 40 CFR 413 <br /> 3 M=MonthlX 610 <br /> ' Q=Quarterly.Quarterly samples=Jan,April, Jul , Nov <br /> A=annually.Annual=April <br /> ' 4 Call site engineer before leaving site <br /> Comments 1 Remarks from Feld Staff <br /> Completed B <br /> Date SECOR <br /> �^�wer0�ennce rrr4,r uy Inlernalowel IrW"pOraled <br />