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at it <br /> FIELD SERVICES REQUEST <br /> [SITE INFOR <br /> MATION FORM <br /> Identification Protect Type Check Appropriate Category <br /> Project# 778P 54932 03 0335 Operation & Maintenance nX Budget Site Visit <br /> Station ID # ARCO 4932 Sampling Out of Budget Site Visit <br /> Site Address 16E Harding Way 1 st Time Visit <br /> Stockton, CA Quarterly Budget Hours <br /> Lab S uola —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 Richfield BP One Time Event See Health and Safety Plan <br /> Client P 0 C Paul Sypeo Other <br /> Date of Request ,) Field Date -4,.3 <br /> Field Tasks General Descri tion <br /> 1 Sam le SVE system bag samples)accordin to the following schedule <br /> 3r Vlleiis0 (I>#ttent E gent �`— <br /> TPHg/BTEX/MtBE-EPA 8= M M0 <br /> FID �t}i� 0,�,,� M M M <br /> 2 Sample GWE system (water samples) according to the following schedule <br /> x a k 44011 <br /> q <br /> I i�� ao ,t d <br /> BTEX/MtBE-EPA 8280E M M M M <br /> TPN-EPA 4181 M M M M <br /> H EPA 150 1 M M 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 <br /> 0=Quarterly, Quarterly saes_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 /> rr So"aLc -cE3— ca I ao C E c + -T4& 'k -c IL A, 4 <br /> EL <br /> S crl it V(4 5 4-1 C—AL Ca r r r <br /> WAL Cex: AP I �j c*". <br /> Completed By Date SECOR <br /> K\I-0M a\F1W Service Hequmt xis International Incorpor$ted <br />