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FIELD SERVICES REQUEST <br /> LOE 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 Drive ❑ 1st time visit <br /> Stockton, CA ❑ Quarterly Budget Hours 4 <br /> Lab Sequoia ❑ 1st ❑ 2nd ❑ 3rd ❑ 4th Actual Hours 4�� <br /> County San Joaquin_ ❑ Monthly Mob de Mob 2 <br /> Project Manager Rusty E Benkosky ® Semi-Monthly <br /> Requester Demian Wncele ❑ Weekly Site Safety Concerns <br /> Client Chevron Products Company ❑ Onetime event <br /> Client P O C Bob Cochran ❑ Other <br /> Date of Request 814100 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 /> . Wells Infl Effl <br /> TPHg/BTEX/MtBE M M <br /> FID M M M <br /> 2) Complete data sheet <br /> 3) Gather well field data(FID,flow rate, vacuum) <br /> 4) Call site engineer before leaving site <br /> Q=Quarterly M=Monthly -- <br /> Comments, remarks from field staff <br /> i <br /> r✓t O � <br /> Completed By��«� Date �� � SECOR International Incorporated <br />