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%) } <br /> V <br /> FIELvD SERVICES REQUEST ` <br /> 'f1Y�*"a��TV, <br /> F c <br /> TEINFORMATION FORM Y��ry lf; _V, "t „ � „f� <br /> ? 'Y„� a ' ik �`xr4{`,* �� 3 + <br /> :� +9i'� t, �. <br /> Edentific_ati_on Prolect Type Check Appropriate Category <br /> Project# 077.41928 190 Operation &Maintenance ❑X Budget Site Visit <br /> Station ID# ARCO2093 ❑ Sampling Out of Budget Site Visit <br /> Site Address 3435 Tracy Blvd_ 1 st Time Visit <br /> Tracy, CA Quarterly Budget Hours <br /> Lab Sequoia _ _ast 2nd _3rd —4th Actual Hours (!!,D <br /> County San Joaquin ❑X Monthly Mob/de Mob <br /> Project Manager Rusty Benkosky _ _ Sema-Monthly <br /> Requester Demlan Wincele Weekly Site Safety Concerns <br /> Client Atlantic Richfield Company One Time Event See Health and Safety Plan <br /> Client P.O C Paul Supple ❑ Other <br /> Date of Request Field Date f/ I- ze_:�p <br /> Field Tasks General Description <br /> 1 Sample SVE system (bag samples) according to the following schedule �� { <br /> TPHg/BTEX/MtBE M <br /> FID M M M <br /> M=Monthly Q=Quarterly,samples=Jan,April,July, Nov <br /> 2)Complete the data sheet <br /> 31 Call site engineer before leaving the arte <br /> Comments 1 Remarks from Field Staff <br /> 4 � <br /> pleted By: �- Date, SECOR <br /> jnjeff&M�MW Med <br />