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FIELD SERVICES REQUEST <br /> *—ITE IN FORM <br /> Identification Prolect Type Check Appropriate Category <br /> Project# 07741991.034 Operation & Maintenance ❑X Budget Site Visit <br /> Station ID# Chevron 9-4275 Sampling Out of Budget Site Visit <br /> Site Address 29_0_5 Bnamrn Holt Drive 1 st Time Visit <br /> Stockton, CA _ Ouarterly Budget Hours <br /> Lab NA 1st _2nd 3rd _4th Actual Hours Ll [J <br /> County San Joaquin ❑X_ Monthly Mob/de Mob <br /> Project Manager Scott Gable ❑ Semi-Monthly <br /> Requester Greg Mover Weekly Site-Safely Concerns <br /> Client Chevron Products Co One Time Event See Health and Safety Plan <br /> Client P O C Bob Cochran Other <br /> Date of Request 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 /> fflure <br /> TPHg/BTEX/MtBE M M <br /> • FID M <br /> M = Monthly Q=Quarter) , Quarterly samples=Jan,April,July, Nov <br /> 2 Complete the data sheet <br /> 3 Cali site engineer before leaving the site <br /> Comments / Remarks from Field Staff <br /> s <br /> La <br /> mpleted By Date SECOR <br /> I ntematlonal Incorporated <br /> K NAd b fte Request Ma <br />