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4 <br /> FIELD SERVICES REQUEST <br /> ITE INFORMATION FORM <br /> Identification Proiect Type Check Appropriate Catectont <br /> Project# 07741991.034 0 Operation & Maintenance []X Budget Site Visit <br /> Station ID# Chevron 9-4275 Sampling E] Out of Budget Site Visit <br /> Site Address 2905 Benjamin Holt Drive 1 st Time Visit <br /> Stockton, CA Quarterly Budget Hours <br /> Lab NA _1st _2nd —3rd —4th Actual Hours <br /> County San Joaquin �X Monthly Mob/de Mob <br /> Project Manager Scott Gable Semi-Monthly <br /> Requester Greg McIver F1 Weekly Site Safety 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 sstem to following schedule SVE s stem is current!y off due to flooded well screens <br /> TPHg/BTEX/MtBE M M <br /> • FID M <br /> M= Monthly Q=Quarterly,Quarterly samples=Jan,April,July, Nov <br /> 21 Complete the data sheet <br /> 3 Call site engineer before leaving the site <br /> Comments 1 Remarks from Field Staff <br /> s a.� <br /> mpleted By Date t / b/ SECOR <br /> Inte matlonal Incorporated <br /> K leld Service Hequest,xls <br />