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i <br /> FIELD SERVICES REQUEST <br /> E INFORMATION FORM <br /> Identification Project Type Check Appropriate Cate o <br /> project# 077 41991 034 ® Operation & Maintenance ® Budget Site Visit <br /> Station ID # Chevron 9-4275 ❑ Sampling ❑ Out of Budget Site Visit <br /> Site Address 2905 Benjamin Holt Dave ❑ 1st time visit <br /> _ Stockton, CA ❑ Quarterly Budget Hours 4 <br /> Lab Sequoia ❑ 1 st ❑ 2nd ❑ 3rd ❑ 4th Actual Hours S� <br /> County San Joaquin _ ❑ Monthly Mob de Mob 2 <br /> Project Manager Rusty E Benkosky ® Semi-Monthly <br /> Requester Demian Wincele ❑ Weekly Site Safety Concerns <br /> Client Chevron Products Company ❑ Onetime event <br /> Client P O C Bob Cochran ❑ Other <br /> Date of Request 7120100 Ideal field dat <br /> G c, <br /> Field Tasks General Description <br /> 1) Sample system to following schedule SVE system is currently off due to flooded well screens <br /> 0 Wells Infl Effl <br /> TPHgIBTEXIMtBE M M <br /> FID M M M <br /> 2) Complete data sheet <br /> 3) Gather well field data(FID,flow rate,vacuum) <br /> 4) Cali site engineer before leaving site <br /> Q =Quarterly M =Monthly <br /> Comments, remarks from field staff_ <br /> S147_4 A2 - r/t J le-2 L <br /> �l �J <br /> oCompleted y ' Date J SECOR International lncOrpOrated <br />