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FIELD SERVICES REQUEST <br /> SITE INFORMATION FORM <br /> Identification Project Type Check Appropriate Category <br /> Project# 77OT"43622 01 0010 0 Operation & Maintenance Budget Site Visit <br /> Station ID # Ranch Market Sampling Out of Budget Site Visit <br /> Site Address 23568 South Santa Fe Road F] 1 st Time Visit - <br /> Riverbank, CA ❑ Quarterly Budget Hours 4 onsite <br /> Lab Kfff Analytical _1S1 _2nd _3rd 4th Actual Hours <br /> County San Joaquin Q Monthly - Mob/de Mob 3 <br /> Project Manager JaffAuchterlonfe Sema-Monthly <br /> Requester Brian Carey L] 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 2 <br /> Field Tasks General Description <br /> 1) Sample system to following schedule _ <br /> NINSINNIMMIM EPA NteftioCt <br /> TPHg/BTEX/MTBE - EPA 8260B M M 902-0 /80 1. <br /> i FID M M M <br /> Q = Quarterly M = Monthly <br /> 2) Complete data Sheet <br /> S)Gather well field data(FID,flow rate, vacuum,active ozone wells) <br /> �4) Call site engineer before leaving site <br /> Comments 1 Remarks from Fleld Staff <br /> I '� <br /> Completed By- 5� � Date. SECOR <br /> l — tntemeuonal lnco+poWed <br />