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FIELD SERVICES REQUEST <br /> ITE INFORMATION FORM <br /> Identification Prosect Type Check Appropriate Category <br /> Pro)eot# 77OT 43622 010010 Xl Operation & Maintenance Budget Site Visit <br /> Station ID # Ranch Marker ❑ Sampling Out of Budget Site Visit <br /> Site Address 23569 South Santa Fe Road Fj 1st Time Visit <br /> Riverbank, CA Fj Quarterly Budget Hours 1/2 hour onsite <br /> Lab Kiff Analytical _16t _2nd —3rd —4th Actual Hours <br /> County San Joaquin �X Monthly Mob/de Mob 3 <br /> Project Manager Jeff Auchterlonle Semi-Monthly <br /> Requester Brian Carey ❑ Weekly Site Safety Concerns <br /> Client Mohamed and Huda Gubary One Time Event <br /> Site P O C Ken Randhawa(Manager) Other <br /> Date of Request Field Date <br /> Field Tasks General Description <br /> 1) Sample system to following schedule <br /> TPHg/BTEX/MTBE - EPA 826 BB M 7mm FID M M <br /> Q = Quarterly M = Monthly <br /> 2)Change out chart Recorder Paper <br /> 4)Call site engineer before leaving site <br /> Comments/ Remarks from Field Staff <br /> GATE Combo - jD 2 G <br /> f <br /> b2UP" iA4e4ef,- 17 tic <br /> r <br /> Completed By- 1/f/J /gyp z),0rw,4 Date. 2 -03 SECOR <br /> • +—�—+� IntemaUonaJ Incorporated <br />