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FIELD SERVICES <br />ITE INFORMATION FORM <br />Identification. <br />Project #: 77CH.43452.00.0550 <br />Station ID #: Chevron 9-5775 <br />Site Address: 301 West Kettleman Lane <br />Lodi, CA <br />Lab: Lancaster Laboratories <br />County: San Joa uln <br />Project Manager: Ron Hoffmore <br />Requester: Bob Jackson <br />Client: Chevron Products Company <br />Client P.O.C: Bob Cochran <br />Date of Request: 22 -Mar 2002 <br />Field Tasks General Description <br />T <br />Prolect Typ <br />�X Operation & Maintenance <br />❑ Sampling <br />1 st Time Visit <br />Quarterly <br />—1st _2nd —3rd _4th <br />Monthly <br />�] Semi -Monthly <br />�X Weekly <br />Fj One Time Event <br />0 Other: <br />Field Date: Wednesdays at 10 am <br />_I)_ Sample SVE system (bag samples) according to the following schedule <br />wFID <br />Take bag samples on even dated Wednesdays <br />2 Sample GWE system (water samples) according to the following schedule <br />G.. 2"` j C P <br />4._. il�S�..Y`.�^�3�i'. <br />3 <br />11Td p. 5 i '$.: <br />=i.[—�`� { ..���' <br />TPHg/13TEX(Mtl3Eper <br />Monthper <br />/ ' Monthper <br />Month <br />/ <br />Take bag samples on even dated Wednesdays <br />2 Sample GWE system (water samples) according to the following schedule <br />G.. 2"` j C P <br />4._. il�S�..Y`.�^�3�i'. <br />3 <br />11Td p. 5 i '$.: <br />=i.[—�`� { ..���' <br />!P J _ <br />211 -T -1 <br />z.5.:s..... <br />Check Appropriate Cateaoy <br />❑x Budget Site Visit <br />❑ Out of Budget Site Visit <br />Budget Hours <br />Actual Hours: <br />2/4 <br />Mob/de Mob: 2 <br />Site Safety, Concerns <br />See Health and Safety Plan <br />Analyze samples by 8260 for oxygenates TBA, MtBE, DIPS, TAME, ETBE, ethanol, methanol, 1,2 -DCA, EDB <br />M = Month! <br />Q = Quarterly, Quarterly samples = Jan, April, July, Nov, <br />3) Call site engineer before leaving site. <br />Completed By: Date: �Z SECOR <br />Intamalionel Incorporated <br />KV -07 rslHOW Saw" KaqueMAS <br />