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FIELD SERVICES REQUEST <br /> SITE INFORMATION FORM <br /> identification Pro,�ect Type Check Appropriate Cate o <br /> Project# 778P 52133 01.0335 Operation & Maintenance Q Budget Site Visit <br /> Station ID# ARCO2133 Sampling Out of Budget Site Visit <br /> Site Address 2908 Benjamin Holt Dr J__J 1 st Time Visit <br /> Stockton, CA E] Quarterly Budget Hours 4 <br /> Lab Sequoia 1st _2nd _3rd 4th Actual Hours 6-'P <br /> County _San Joaquin _ Q Monthly Mob/de Mob 2 <br /> Project Manager Rusfy Benkos ❑ Semi-Monthly <br /> Requester Brian Carey 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 7 2e7 <br /> Field_Tasks General Description <br /> 1)Collect air sparge system and well data <br /> 3) Complete the data sheet " <br /> 4)Call site engineer before leaving site <br /> Comments 1 Remarks from Field Staff <br /> Completed By Date* t1474.7_-_ SECOR <br /> International Incorporated <br /> K.V-onnsl-leld Service Hequest)ds <br />