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FIELD SERVICES REQUEST <br /> SITE INFORMATION FORM <br /> Identification Project Type Check Appropriate Category <br /> Project# 77BP 43235.00.0190 Operation & Maintenance 0 Budget Site Visit <br /> Station ID# ARCO 2133 Sampling Out of Budget Site Visit <br /> Site Address 2908 Ben amin Holt Dr 1 st Time Visit <br /> Stockton, CA Quarterly Budget Hours 4 <br /> Lab Sequoia _1st _2nd 3rd 4th Actual Hours S{a lr,,., <br /> County San dog uln []x Monthly Mob/de Mob 2 <br /> Project Manager RustY_Benkosky Semi-Monthly <br /> Requester Brian Cgrey F� Weekly Site Safety Concerns <br /> Client Atlantic Richfield Com an One Time Event See Heath and Safety Plan <br /> Client P O C Pau!_Supple Other <br /> Date of Request Field Date <br /> Fleld Tasks General Description <br /> 1 Sample SVE s stem ba sam les aocording to the following schedule <br /> ERIN=NNINEM <br /> TPHg/BTEX/MtBE M <br /> FID M M M <br /> M=Monthly 0=Quarterly,sam les=Jan,Apni,July, Nov <br /> Please refer to Work Authorization Number A# 2730100 on each COC for O&M sam les. <br /> 2)Collect data <br /> $ Complete the data sheet <br /> 4)Call site engineer before leaving site <br /> Comments / Remarks from FieldStaff <br /> 77, 2 -, .tom'. <br /> Completed By: 6�r��` 7_ Date. ��11 �� SECOR <br /> Intsmatlonal Incorporated <br /> K. eld Z3BMCe Request ws <br />