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ti <br /> FIELD SERVICES REQUEST <br /> SITE INFORMATION FORM � =w <br /> 3kMxw 1 K� <br /> ;= <br /> Identification Project Tyke Check Appropriate Cate-gory <br /> Project# 7G600-019-01 task 109 ® Operation & Maintenance ® Budget Site Visit <br /> Station ID# ARCO 2133 ❑ Sampling ❑ Out of Budget Site Visit <br /> Site Address 2908 Benjamin Holt Drive ❑ 1st time visit <br /> Stockton,CA ❑ Quarterly Budget Hours 4 <br /> Lab Sequoia, WAR#2264400 ❑ 1st ❑ 2nd ❑ 3rd ❑4th Actual Hours J 15 <br /> County San Joaquin _ El Monthly Mob de Mob 2 <br /> Project Manager Rusty E Benkosky ® Semt-Monthly 7 M 1 LL:S <br /> Requester Rustv E_ Benkosky __ ❑ Weekly Site Safety Concerns <br /> Client ARCO Products Company ❑ Onetime event <br /> Client P O C Paul Supple ❑ Other- <br /> Date <br /> therDate of Request _10 2 48 / ! r_ ? v Ideal field date <br /> Field Tasks General Description <br /> 1) Sample system to following schedule <br /> v` 'Wells 'Inn Eft- <br /> TPH-g/BTEX/MtBE M M <br /> FID M M M <br /> 2 Complete data sheet <br /> 3) Gather well field data (FID, flow rate, vacuum) <br /> 4) Call site engineer before leaving site <br /> Q = Quarterly M = Monthly "= When dilution valve is open <br /> Comments remarks from field staff <br /> ' ��M E L T S &4 , -(e 141*- / S I o <br /> rp <br /> Completed By Date: , - } SECOR Infemafional lnco orated <br />