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FIELD SERVICES REQUEST <br /> SITE INFORMATION FORM mom <br /> Identification Project Type Check Approp"Catea0r, <br /> Pro)eCt # TTBP 54932 03 0335 Operation & Maintenance FXJ Budget Site Vint <br /> Station ID # ARCO 4932 El Sampling Out of Budget Site Visit <br /> Site Address 16 E Harding Way ❑ 1st Time Visit <br /> Stockton, CA D 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 ❑X Semi-Monthly <br /> Requester Clint Harms ❑ Weekly Site Safety Concerns <br /> Client Atlantic Richrield(BP) One Time Event See Health and Safety Plan <br /> Client P O C Paul Supple Other <br /> Date of Request Field Date <br /> Field Tasks General Description <br /> 1 Sample SVE system ba samples)according to the following schedule <br /> TPHg/13TEX/Mt8E-EPA 8260B M M M <br /> 1=1D M M M M <br /> r <br /> 2 Sam le GWE s tem water samples)according to the following schedule <br /> BTEY M BE-EPA 826DB(3 preserved vacs) --- --- w M <br /> TPHg/BTE) MtBE-EPA 82608 M M M --- M <br /> TPH-EPA 418 4 2 preserved ambers --- ... M <br /> H EPA 150 1(1-500 ml .� M <br /> Total Cadmium,chromium,copper. <br /> lead,nickel,zinc EPA 200 Series — --- A _ <br /> Total Toxic Organics 40 CFR 413 --- — A W <br /> 3 M=Month! <br /> Q=Quarterly,Quarter!y 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 /> Completed By Date SECOR <br /> K lFOry1'- Lqd bemce Hequest xis Internaimnal Incorporaled <br />