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FIELD SERVICES REQUEST <br /> SITE INFORMATION FORM <br /> Identification Protect Type Check Appropriate Cateam <br /> Protect# 7713P 54932 03 0335 ❑X Operation & Maintenance X❑ Budget Site Visit <br /> Station ID # ARCO 4932 E] Sampling 0 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 E] Weekly Site Safety Concerns <br /> Client Atlantic Rlahtleld(BP) One Time Event See Health and Saf�+t Plan <br /> Client P.O C Pout Supple Other q <br /> Date of Request02001-1 Field Date <br /> Field Tasks General Description <br /> 4 Sample SVE system ba samples)acoording to the following schedule <br /> e ppe <br /> TPHgBTEX/MtBE-EPA 8260B M M M <br /> FID M M M M <br /> 11Z/0 /1130 <br /> 2)Sample GWE system(water samples)according to the following schedule <br /> BTENMtBE-EPA 8260B(3 preserved voas) --- --- --- M <br /> TPHg1BTEX'MtBE-EPA 8260B M M M ---- M <br /> TPH-EPA 418 1(2 preserved ambers) --- --- — M <br /> phi EPA 150 1(1-500 ml poi ) --- --- — M <br /> Total Cadmium,chromium,copper, <br /> lead,nickel,zinc EPA 200 Series — — --- A --- <br /> Total Toxic Organics 40 CFR 413 --- --- --- A -- <br /> /U � <br /> 3) M= Monthly <br /> .. Q=Quarterly,Quarterly samples=Jan,April, July,Nov <br /> A W annually,Annual=April <br /> 4) Call site engineer before leaving site _ <br /> Comments I Remarks from Field Staff <br /> Completed 13 Date L SECOR <br /> inlemalional incorporaled <br /> ![ F OrrT'6V'NG Ser�C[KeqC SI X15 <br />