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FIELD SERVICES REQUEST <br /> SITE INFORMATION FORM <br /> Identification Proiect_Type Check Appropriate Category <br /> Project # 778P 54932 03 0335 Operation & Maintenance Budget Site Visit <br /> Station ID # ARCO 4932 Sampling Out of Budget Site Visit <br /> Site Address 16 E Harding Way 1 st Time Visit <br /> Stockton, CA ❑ Quarterly Budget Hours <br /> Lab Sequoia 1st _2nd _3rd _4th Actual Hours <br /> County San Joaquin ❑ Monthly Moblde Mob <br /> Project Manager Rusty Benkosky Q Semi-Monthly <br /> Requester Clint Harms [:) Weekly Site Safety Concerns <br /> Client Atlantic Richfield(BP) ❑ One Time Event See Health and Safety Plan <br /> Client P O C Paul Supple n Other <br /> Date of Request - �`-l Field Date -)--(3- <br /> Field <br /> 3-Field Tasks General Description <br /> i Sample SVE system (bag samples)according to the following schedule <br /> M p 1300151, T2 S Y 5 <br /> TPHgBTEX1MtBE-EPA 8260E M M M N� <br /> FID M c;2 3c) o9a M M <br /> 2 <br /> Sample GWE system water samples)according to the following schedule <br /> BTEXIMtl3E-EPA 82606(3 preserved M <br /> TPtgBTEX/MtBE-EPA 82608 M M M --- M <br /> TPH-EPA 418 1(2 presented ambers) --- --- --- M <br /> pH EPA 1501(1-500 ml poly) -- — — M <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 J cJ S Z 3e <br /> Q=Quarters .Quartedy samples=Jan,April,July. Nov <br /> A=annuail ,Annual=April <br /> 4 Call site engineer before leaving site <br /> Comments 1 Remarks from Field Staff <br /> cr4L <br /> r <br /> Completed BY Date Date ,SLCOR <br /> K v omduvi&a tcrvlce'{egvics2 as Inlernalional Intorporaled <br />