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FIELD SERVICES REQUEST <br /> SITE INFORMATION FORM <br /> Identification Protect Type Check Appropriate Category <br /> Project# 77SP 54932 03 0335 ❑X Operation & Maintenance XX Budget Site Visit y <br /> Station ID# ARCO 4932 Sampling ❑ Out of Budget Site Visit <br /> Site Address 16 E Harding Way ❑ 1st Time Visit <br /> Stockton, CA Quarterly Budget Hours <br /> Lab Sequoia —1st _2nd `3rd _4th Actual Hours <br /> County San Joaquin -_ ❑ Monthly Mob/de Mob <br /> Project Manager Rusty Benkosky R Semi-Monthly <br /> Requester Clint Harms E] Weekly Site Safety Concerns <br /> Client Atlantic Rich#eld BP One Time Event See Health and Safety Plan <br /> Client P O C Paul Supple Other <br /> Date of Request G Field Date <br /> Field Tasks General Description <br /> 1 Sample SVE system(bag samples)according to the following schedule <br /> TPHg/BTEX/MtBE-EPA 82608 M M M <br /> FID M M M M <br /> 2 Sample GWE system(water samples)according to the following schedule <br /> BTEX(MtBE-EPA 8260B(3 preserved voas) --- --- --- M --_ <br /> TPHgIBTEXJM1BE-EPA 82608 M M M ---- M <br /> TPH-EPA 418 1(2 preserved 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 --- ___ T A <br /> 1�t1 P-= �l•9- r �..f t ,Z �/7 <br /> 3) M-Monthly /!U <br /> Q=Quarterly,Quarterly samples=Jan,April,July,Nov <br /> A=annually,Annual=April <br /> 4) Call site engineer before leaving site <br /> Comments 1 Remarks from Field Staff ^ <br /> sZ.Ll Al-A-1-C-9 _S I OF or-( M V - (,I 57.0 60A <br /> 5",-Pkc IrEL <br /> Completed By Date ��� t _,�, SECOR <br /> K Worms\Fterd Seance Request qs Intematlonal Inwrporsted <br />