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M <br /> FIELD SERVICES REQUEST <br /> a <br /> [�E::IN7FORMATION FORM <br /> Identification Prosect Type Check Appropriate Category <br /> Project# 077 41991 034 ® Operation & Maintenance ® Budget Site Visa <br /> Station ID # Chevron 9-4275 ❑ Sampling ❑ Out of Budget Site Visa <br /> Site Address 2905 Benjamin Holt Drive ❑ 1 st time visit <br /> Stockton CA ❑ Quarterly Budget Hours 4 <br /> Lab Sequoia ❑ 1st ❑ 2nd ❑ 3rd ❑ 4th Actual Hours <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 date <br /> Field Tasks General Description <br /> 1) Sample system to following schedule SVE system is currently off due to flooded well screens <br /> 46 Wells Infl Effl <br /> TPHg1BTEXIMtBE M M <br /> FID M M M <br /> 2) Complete data sheet _g <br /> 3) Gather well field data(FID, flow rate, vacuum) <br /> 4 Call site engineer before leaving site <br /> Q=Quarterly M=Months <br /> Comments, remarks from field staff <br /> Completed B�rim Date SECOR International Incorporated <br />