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FIELD SERVICES REQUEST <br /> 4SITE INFORMATION FORM <br /> Identification Proiect Type Check Appropriate Category <br /> Project # 77BP 52133 010335 Operation & Maintenance Budget Site Visit <br /> Station ID # ARCD 2133 Sampling Out of Budget Site Vint <br /> Site Address 2908 Benjamin Holt Dr 1 st Time Visit <br /> Stockton, CA ❑ Quarterly Budget Hours 4 <br /> Lab Sequoia _1st _2nd 3rd _4th Actual Hours <br /> County San Joaquin FX Monthly Mob/de Mob 2 <br /> Project Manager Rusty Benkosky F Semi-Monthly <br /> Requester Brian Care Weekly Site Safety Concerns <br /> Client Atlantic Richfield Company One Time Event See Health and Safety Plan_ <br /> Client P O C Paul Supple ._ Other <br /> Date of Request Field Date Z G� <br /> Field Tasks General Description <br /> 1 Collect airsparge s stem and well data <br /> 3 Complete the data sheet <br /> 4 Call site engineer before leaving site <br /> • - <br /> Comments 1 Remarks from Field Staff <br /> r <br /> r <br /> Completed ByDate l a� SECOR <br /> Inte matron al Incorporated <br /> K 1hom�s+rield Semite Request xis <br />, • <br />