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FIELD SERVICES REQUEST <br /> 210 �mi <br /> SITE INFORMATION FORM <br /> Identification Prosect Type Check Appropriate Category <br /> Project# 77OT 43622 010010 0 Operation & Maintenance Budget Site Visit <br /> Station ID# Ranch Market ❑ Sampling Out of Budget Site Visit <br /> Site Address 23569 South Santa Fe Road 1 st Time Visit <br /> Riverbank, CA Quarterly Budget Hours 1/2 hour onsite <br /> Lab _KfffAnalytica! _tst _2nd —3rd 4th Actual Hours 3.O/_t,., <br /> County_ San Joaquin Q Monthly Mob/de Mob 3 <br /> Project Manager Jaff Auchterlonie 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 ZL9J/;A7— <br /> Field <br /> /7A- <br /> Field Tasks General Description <br /> 1) Sample system to following schedule <br /> TPHg/BTEX/MTBE - EPA 8260B M M <br /> FID M M M <br /> Q = Quarterly M Monthly <br /> 2)Change out chart Recorder Paper <br /> 3) <br /> - 4)Call site engineer before leaving site =-- — -- -— - <br /> Comments / (Remarks from Field Staff <br /> GATE Combo 3699 <br /> Completed By Date xC> 17�� SL'COR <br /> lntemationW Incorporated <br /> k� <br /> v <br />