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FIELD SERVICES REQUEST <br /> SITE INFORMATION FORM <br /> Identification Project Type Check Appropriate category <br /> Project# 77BP 52133 010335 ❑X Operation & Maintenance Budget Site Visit <br /> Station ID # ARCO 2133 Sampling Out of Budget Site Visit <br /> Site Address 2908 Benjamin Holt Dr 1 st Time Visit <br /> Stockton, CA F� Quarterly Budget Hours 4 <br /> Lab Sequoia _1st —2nd 3rd 4th Actual Hours YJ; <br /> County San Joaquin QX Monthly ___ Mob/de Mob 2 <br /> Project Manager Rusty Benkosk_y ❑ Semi-Monthly <br /> Requester Brian Carey _ [] Weekly Site Safety Concerns <br /> Client Atlantic Richfield Company E] One Time Event See Health and Safety Plan <br /> Client P O C Paul Supple ❑ Other <br /> Date of Request Field Date d.3 <br /> Field Tasks General Description <br /> 1 Collect airsparge system and well data <br /> 3 Complete the data sheet <br /> 4 Call site engineer before leaving site <br /> Comments/ Remarks from Field Staff <br /> r <br /> v <br /> Completed By: Date SECOR <br /> --— Intematlonai tworporeted <br /> K.7horms"Id Service Roquest M <br />