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FIELD SERVICES REOUEST <br />ITE INFORMATION FORM <br />Identification <br />Project It: 077.43452.550 <br />Station ID #: Chevron 9-5775 <br />Site Address. 301 West Kettleman Lane <br />Lodi, CA <br />Lab: Lancaster Laboratories <br />County: San Joaquln <br />Project Manager: Ron Chinn <br />Requester: Greg McIver <br />Client: Chevron Products Company <br />Client P.O.C: Bob Cochran <br />Date of Request: 23 -Aug -2001 <br />Field Tasks General Description <br />Project Type <br />Q Operation & Maintenance <br />E] Sampling <br />EJ 1 st Time Visit <br />Ouarterly <br />_1st —2nd `3rd _4th <br />Monthly <br />Semi -Monthly <br />QX Weekly <br />One Time Event <br />F1 Other: <br />Field date: Wednesdays at 10 am <br />1) Sample SVE system (bag samples) according to the following schedule <br />Take ba.9 samples on even dated Wednesdays <br />2 Sample GWE system (water samples) according to the following schedule <br />Check Appropriate Cate or <br />0 Budget Site Visit <br />Out of Budget Site Visit <br />Budget Hours: 2/4 <br />Actual Hours: `k 5- f _J <br />Mob/de Mob: 2 <br />Site Safety Concerns <br />See Health and Safety Plan <br />Analyze samples by 8260 for oxygenates TBA, MtBE, DIPE, TAME, ETBE, ethanol, methanol, 1,2 -DCA, EDB <br />M = Monthly <br />Q = Quarterly, Quarterly samples = Jan, April, July, Nov. <br />3) Call site engineer before leaving site. <br />Completed By: �_.Date: - 9 1:5 5ECOR <br />lntematlo" Incorporated <br />wwomnM-few service rtequestmz <br />S1/��lrtfJ4!.n <br />TPHg/BTEX/MtBE <br />2x per Month <br />2x per Month <br />FIDI <br />2x per Month <br />2x per Month <br />Take ba.9 samples on even dated Wednesdays <br />2 Sample GWE system (water samples) according to the following schedule <br />Check Appropriate Cate or <br />0 Budget Site Visit <br />Out of Budget Site Visit <br />Budget Hours: 2/4 <br />Actual Hours: `k 5- f _J <br />Mob/de Mob: 2 <br />Site Safety Concerns <br />See Health and Safety Plan <br />Analyze samples by 8260 for oxygenates TBA, MtBE, DIPE, TAME, ETBE, ethanol, methanol, 1,2 -DCA, EDB <br />M = Monthly <br />Q = Quarterly, Quarterly samples = Jan, April, July, Nov. <br />3) Call site engineer before leaving site. <br />Completed By: �_.Date: - 9 1:5 5ECOR <br />lntematlo" Incorporated <br />wwomnM-few service rtequestmz <br />