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FIELD SERVICES REQUEST <br /> SITE INFORMATION FORM <br /> Identification Prolect Type Check A22ropriate Cate o <br /> Project # 770T 43622.07 0010 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 4 onafte <br /> Lab KlffAnalytical _1st _2nd _3rd 4th Actual Hours ,3 D <br /> County San Joaquin ❑X Monthly ____ Mob/de Mob 3 <br /> Protect Manager JaffAuchterlonle Semi-Monthly <br /> Requester Brian ELrey Weekly Site-Safety Concerns <br /> Client Mohamed and Huda Gubary One Time Event r S <br /> Sao 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 /> ITPHg/BTEX/MTBE - EPA 8260E M M <br /> I 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 <br /> =-4)Call site engineer-before leaving site <br /> Comments / Remarks from Field Staff <br /> t r <br /> Completed By. �.� -- J Date: I/ / aZ_ SECOR <br /> international incorporated <br />