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5 <br /> FIELD SERVICES REQUEST <br /> SITE INFORMATION FORM 111M <br /> Identification Project Type Check Appropriate Category <br /> Project # 770143622 010010 ❑X Operation & Maintenance p 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 onsite <br /> Lab Klff Analytical —1st _2nd —3rd 4th Actual Hours <br /> County Sap Joaquin_ 0 Monthly Mob/de Mob 3 <br /> Project Manager JaffAuchterionie Semi-Monthly <br /> Requester Brian Carey Weekly Site Safety Concerns <br /> Client Mohamed and Muda Gubary One Time Event <br /> Site P O C Kerr 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 8260B M M 0126(02- GoIIQc+ ir\�'Ivew+ nnIy <br /> i FID M M M <br /> Q = Quarterly M = Monthly <br /> 2)Complete data Sheet <br /> 3)Gather well field data fflD,flow rate, vacuum,active ozone wells} <br /> 4)Call site engineer before leaving site <br /> Comments/ Remarks from Field Staff <br /> Completed By Date. SECOR <br /> i Intemational Incorporated <br />