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• <br />FYF.ID SF.RVICPS, RF01 iFgT <br />SITE INFORMATION FORM <br />Identification <br />Project #: 077.43452.550 <br />Station ID #: Chevron 95775 <br />Site Address: 301 West Kettleman Lane <br />Lodi. CA <br />Lab: Kiff Analytical <br />County: San Joaquin <br />Project Manager: Ron Chinn <br />Requester: David M. Evans <br />Client: Chevron Products Company <br />Client P.O.C: Bob Cochran <br />Date of Request: 20 -Feb -2001 <br />Field Tasks General Description <br />Project Type <br />�X Operation & Maintenance <br />Sampling <br />1st Time Visit <br />Quarterly <br />_1st _2nd 3rd _4th <br />F] Monthly <br />n Semi -Monthly <br />❑X Weekly <br />One Time Event <br />Other: <br />Field Date: Wednesdays at 10 am <br />1 Sample SVE system (bag samples) according to the following schedule _ <br />Take bag samples on even dated Wednesdays <br />2 Sample GWE s tem water sam les according to the following schedule <br />- � � '' _ -.gib& G 'j � tt}S.�'';# [�:,�,��,'�a�t>•'- tTS7�. N� 'i•'rl�S <br />SVE lrifliaerit,',; <br />„::<SVE Effluent <br />TPHg/BTEX/MtBE <br />2x per Month <br />2x per Month <br />FID <br />2x per Month <br />2x per Month <br />Take bag samples on even dated Wednesdays <br />2 Sample GWE s tem water sam les according to the following schedule <br />- � � '' _ -.gib& G 'j � tt}S.�'';# [�:,�,��,'�a�t>•'- tTS7�. N� 'i•'rl�S <br />„ `k�l 3?E` <br />Check Appropriate Category <br />Budget Site Visit <br />Out of Budget Site Visit <br />Budget Hours: 416 <br />Actual Hours: w <br />Mob/de Mob: 2 <br />Site Safety Concerns <br />See Health and Safety Plan <br />Analyze samples by 8250 for oxygenates TBA, MtBE, DIPE, TAME, EtBE _ethanol, methanol, 12 -DCA, EDS <br />M = Monthly <br />Q = Quarterly, Quarterly samples = Jan, April, July, Nov. <br />3) Call site engineer before leaving site. <br />Comments I Remarks from Field Staff _ <br />• <br />Completed By; C� Date: 3` SECOR <br />4' Inlernalionel Wofpo all <br />K:Worn *,e1Q S, ­ Ce 1<CQue51 rt5 <br />