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6 <br /> FIELD SERVICES REQUEST <br /> SITE INFORMATION FORM <br /> Identification Proiect 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 --Mob de Mab - 2 -- <br /> Project Manager Rusty E Benkosky ® Semi-Monthly `-� D <br /> Requester Rusty E. Benkosky ❑ Weekly Site Safety Concerns <br /> Client Chevron Products Company ❑ Onetime event <br /> Client P O C Brett Hunter ❑ Other <br /> L Date of Request _l u� Ideal field dale <br /> Field Tasks General Description <br /> 1) Sample system to following schedule <br /> Wells Intl Eff <br /> 0 1 I <br /> TPH-g/BTEX/MEBE M M <br /> FID M M M <br /> 2 Complete data sheet <br /> 3) Gather well field data (FID, flow rate, vacuum) <br /> A" 4) Call site engineer before leaving site J F <br /> Q = Quarterly M = Monthly ` = When dilution valve is open <br /> Comments, remarks from field staff <br /> :21"HIA4(6- ,X"it - <br /> 4 r-('9 IV& <br /> 0 <br /> Completed By Date SECOR international Incorporated <br />