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V <br /> FIELD SERVICES REQUEST <br /> SITE INFORMATION FORM <br /> Identification Prosect Tyke Check Appropriate-Cate e <br /> Project# 77BP 54932 03 4335 Operation & Maintenance ❑X Budget Site Visit <br /> Station ID # ARCO 4932 Sampling Out of Budget Site Visit <br /> Site Address 16 E Harding Way - 1st Time Visit <br /> Stockton, CA _ El Quarterly Budget Hours <br /> Lab Sequoia —1st —2nd —3rd —4th Actual Hours <br /> County San Joaquin ❑ Monthly Mob/de Mob <br /> Protect Manager Rusty Benkosky rXJ Semi-Monthly <br /> Requester Clint Harms Weekly Site-Safety„Concerns <br /> Client Atlantic Rlchf7eldfBP) One Time Event See Health and Safety Plan <br /> Client P O C -PaulSupple Other <br /> Date of Request @E L Field Date <br /> Field Tasks General Description <br /> Sample SVE system (bag samples)according to the following schedule <br /> TPHg/BTEXIMtBE-EPA 82608 M M M <br /> FID M M M M EFr /vacs <br /> s <br /> 2 Sam le GWE system(water samples)according to the following schedule <br /> BTE/,/MtBE-EPA 8260B(3 preserved voas) --- --- --- M <br /> TPHgBTEXlMtBE-EPA 8260B M M M ---- M <br /> TPN-EPA 418 1(2 preserved ambers) --- --- --- M <br /> pH 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 /> iv r .0 Y i/.J I ctrl z <br /> 3 M = Monthly f p j—u /u Y J /ass- <br /> 0 <br /> a3sQ =Quarterly,Quarterly sam les=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 /> tH -Th aX dwIr T-Z <br /> v— 0 <br /> Completed By Date L1%Wo SECOR <br /> 6 11{ Inlemational incorporated <br /> K 1F OlTrL54f iCtl'efNCe kCglle5l k15 <br />