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FIELD SERVICES REQUEST <br /> SITE INFORMATION FORM '",` - '�=� �:u xV;,V.� k`, Y kµ .Y ..wzY ti K <` n. •-��m` °� w <br /> Identification Project Type Check Appropriate Category <br /> Project# 7GO07-032-01 task 1 ® 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, SO# 9030619 ❑ 1st ❑ 2nd ❑ 3rd ❑ 4th Actual Hours <br /> "County San Joaquin _„ ❑ Monthly " T ` ^ ' " __Mab tie Mob " T 2"" m _ <br /> Protect Manager Rusty E Benkosky ® Semi-Monthly / Q(}M/e-6} <br /> Requester _Rusty E. Benkosky ❑ Weekly Site Safety Concerns <br /> Client Chevron Products Company ❑ One time event <br /> Client P O C Brett Hunter ❑ Other <br /> Date of Request —�L 9 9 / /_9 f <br /> Ideal field date C f <br /> Field Tasks General Description <br /> 1) Sample system to following schedule <br /> ' Welts Infl Eff <br /> TPH-g/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 rw <br /> Q = Quarterly M = Monthly ' = When dilution valve is open <br /> Comments, remarks from field staff <br /> -0 /ff C C4-- l�rrt3 S dF -f- fPiYJL� Y <br /> Completed Date .7' I L+ 1 SECOR International Incorporated <br />