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A <br /> FIELD SERVICES REQUEST III <br /> RMATION FORM <<;:<: <br /> SITE INFO .;<..:...:-..::.�..: <br /> ,.n <br /> Identification Proiect Type Check Appropriate Category <br /> Project#7G600-603-03 ❑ Operation & Maintenance ® In Budget Site Visit <br /> i <br /> Station ID# 4493 ❑ Sampling ❑ Out of Budget Site Visit <br /> Site Address: 205 North Center Street ❑ 1 st time visit <br /> Stockton, CA ❑ Quarterly Budget Hours: 8 <br /> Lab: Sequoia ❑ 1st ❑ 2nd 0 3rd ❑ 4th Actual Hours: <br /> County: San Joaquin ❑ Monthly Mob de Mob: 2 <br /> Project Manager: Rusty E. Benkosky ❑ Semi-Monthly <br /> Requester: Rusty E. Senkosky ❑ Weekly Site Safety Concerns <br /> Client: ARCO Products Company ® One time event none <br /> Client P.O.C: Paul Supple ❑ Other: <br /> Date of Request: Ideal field date: <br /> Field Tasks General Description <br /> => Go to site and look for UST complex monitoring wells. <br /> => If you find wells, gauge for SPH, if none, collect water samples from each well. <br /> => analyze for TPH-g/BTEX/MtBE by EPA 8020 <br /> Please develop site map showing location of product dispensers, canopy, USTs, and wells. <br /> Comments, remarks from field staff <br /> Completed By: Date: <br /> I <br />