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fr <br /> FIELD SERVICES REQUEST <br /> SITE INFORM FORM n ~« kik �r A � •� ky �J{ }{k }<{u Y <br /> ATION <br /> Identification Project Type <br /> Check A ro riate Cate o <br /> Protect# 7G007-032-01 task Z <br /> ® Operation & Maintenance ® Budget Site Visit <br /> Station ID# Chevron 9-4275 ❑ Sampling <br /> Site Address 2905 Benjamin Halt Drive ❑ Out of Budget Site Visit 1st time visit F _ <br /> Stockton, CA ❑ Quarterly <br /> Lab_ Sequoia, SO#9030619 Budget Hours 4 <br /> El1st ❑ 2nd ❑ 3rd El 4th Actual Hours <br />_. County San Joaquin ❑ Monthly -- <br /> Project Manager Rusty E Benkosk Mob de Mob " 2 <br /> y ® Semi-Monthly <br /> Requester ❑ Weekly <br /> Client Chevron Products Company ❑ OSite Safet Concerns <br /> ne time event <br /> Client P O C Brett Hunter ❑ Other <br /> Date of Request Li _ ( _�� Ideal field date <br /> Field Tasks General Descri tion <br /> Z) Sample system to following schedule <br /> ,Eft++ <br /> v +r <br /> Std.t 7 <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 <br /> Q = Quarterly M = Monthly •= When dilution valve is open <br /> Comments remarks from field staff <br /> _h <br /> .,ompleted 6y Date: � �- <br /> SECOR International Incor orated <br />