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FIELD SERVICES REQUEST <br /> '�' 6a° INN" <br /> ITE INFORMATION FORMa 4 <br /> r <br /> - N <br /> ➢ .n `' £`fir--' ➢" w,€'. +n, ` ?P n' +...k��' ;�' ais'A <br /> Identification Pr_olect_Type Check Appropriate Cate-gory <br /> Project #: 077.41991.034 QX Operation & Maintenance Budget Site Visit <br /> Station ID#: Chevron 9-4275 ❑ Sampling ❑ Out of Budget Site Visit <br /> Site Address: 2905 Benjamin Holt Drive _ ❑ 1 st Time Visit <br /> Stockton, CA ❑ Quarterly Budget Hours: <br /> Lab: NA _1st _2nd _3rd _4th Actual Hours: .3-J9,County: San Joaquin - - FX Monthly Mob/de Mob: <br /> Project Manager: Scott Gable ❑ Semi-Monthly <br /> Requester: Greg McIver Weekly Site Safety Concerns <br /> Client: Chevron Products Co One Time Event See Health and Safety Plan <br /> Client P.O.C: Bob Cochran Other: <br /> Date of Request: Field Date: l l ZP2, <br /> Field Tasks General Description <br /> 1) Sample system to following schedule. SVE system is currently off due to flooded well screens. <br /> " s_._n _ . :: .`<,R. W,'lls . ., SVe Influent: SWE Eff! e.,nt,,. <br /> TPHg/BTEX/MtBE M M <br /> FID M <br /> M =Monthly Q=Quarterly,Quarterly samples=Jan,April, July, Nov. <br /> 2 Complete the data sheet <br /> 3 Call site engineer before leaving the site. <br /> Comments / Remarks from Field Staff <br /> mpleted By: f�/S Q Z Date: S' � SECOR <br /> Intemational l ncaporated <br /> K:womiswiew 5ernee rteguese.>ds <br />