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FIELD SERVICES REQUEST <br /> 5 <br /> lip <br /> ITE INFORMATION FORM <br /> Identification Project Type Check Appropriate Category <br /> Project # 07741928 190 FX Operation & Maintenance ❑X Budget Site Visit <br /> Station ID# ARCO 2093 ❑ Sampling Out of Budget Site Visit <br /> Site Address 3435 Tracy Blvd ❑ 1 st Time Visit <br /> Tracy, CA F] Quarterly Budget Hours <br /> Lab Sequoia _1st _2nd —3rd —4th Actual Hours G _ <br /> County San Joaquin Monthly Mob/de Mob <br /> Project Manager Rusty Benkosky Semi-Monthly <br /> Requester Demian 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 n Other <br /> Date of Request Field Dates '7 d <br /> Field Tasks General Description <br /> Sample SVE system (bag samples) according to the following schedule <br /> f ` Wells, SVE lnfluent, SVE Effluent <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 /> 3 Call site engineer before leaving the site <br /> Comments/ Remarks from Field Staff <br /> mpleted By ��c�� l DateG/� SECOR <br /> is ! _ intemimW kcorpomfed <br /> 1U+1D fl WMM Semce Request M5 <br />