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FIELD SERVICES REQUEST <br /> AII�SITE INFORMATION FORM <br /> identification Project Type Check Appropriate category <br /> Project # 77BP 52133 010335 Operation & Maintenance Budget Site Visit <br /> Station ID # ARCO 2133 ❑ Sampling El Out of Budget Site Visit <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 V__ <br /> County San Joaquln Qx Monthly ___ — Mob/de Mob 2 <br /> Protect Manager Rusty Benkosky ❑ Semi-Monthly <br /> Requester Brian Carey F� Weekly Site Safety Concerns <br /> Client Atlantic Richfield Company r-1 One Time Event See Health and Safety Plan <br /> Client P O C Paul Supple ❑ Other <br /> Date of Request field Date J d <br /> Field Tasks General Description <br /> 1 Collect airsparge s stem and well data <br /> 3 Complete the data sheet <br /> 4 Cali site engineer before leaving site <br /> 0 <br /> Comments/ Remarks from Field Staff <br /> ���-�� �"�fl sem,�os-z� � ----- —•• - — <br /> Completed By: �7 .� Date. �� o SECOR <br /> In tsmatlonal In ewpomted <br /> K'V�o[mSWeltl3Brvlce HeQue31�9 <br />