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FIELD SERVICES REQUEST <br /> 41!fORMATION FORM <br /> Identification Prosect„Type Check Appropriate Category <br /> Project # 77OT 43622 010010 0 Operation & Maintenance 0 Budget Site Visit <br /> Station ID # Ranch Market ❑ Sampling [J Out of Budget Site Visit <br /> Site Address 23569 South Santa Fe Road EJ 1 st Time Visit <br /> Riverbank, CA F] Quarterly Budget Hours 4 onsite <br /> Lab KiffAnalytical _1st _2nd 3rd _4th Actual Hours <br /> County San Joaquin _ 0 Monthly Mob/de Mob 3 <br /> Project Manager JaffAuchterlonle ❑ Semi-Monthly <br /> Requester Brian Carey f__J Weekly Site Safety Concerns <br /> Client _Mohamed and Huda Guba% F] One Time Event <br /> Site P O C Ken Ran dhawa(Manager} F] Other <br /> Date of Request f Z - OL Field Date <br /> Field Tasks General Description <br /> 1)Sample system to following schedule _ <br /> TPHg/BTEXIMTBE - EPA 8260B M M <br /> FID M M M <br /> Q = Quarterly M = Monthly <br /> 2 Complete data Sheet <br /> 3)Gather well field data(FID,flow rate,vacuum, active ozone wells) ze/�r/” 3 <br /> 4)Call slte engineer before leaving site <br /> Comments/ Remarks from Field Staff <br /> ave <br /> 'lX C�aS O GZc.�� slit r rh 6 /-/ <br /> Completed By. Date SECOR <br /> Intonational Incorporated <br />