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FIELD SERVICES REQUEST <br />WE INFORMATION FORM <br />Identification <br />Project #: 077.43452.550 <br />Station ID #E: 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 />Proiect Type <br />QX Operation & Maintenance <br />❑ Sampling <br />❑ 1st Time Visit <br />F] Quarterly <br />1st _2nd _3rd —4th <br />Monthly <br />Semi -Monthly <br />Q Weekly <br />One Time Event <br />F1 Other: <br />Field Date: Wednesdays at 10 am <br />Check Appropriate Category <br />ZX Budget Site Visit <br />❑ Out of Budget Site Visit <br />Budget Hours: 416 <br />Actual Hours: f�; .C3 <br />Moblde Mob: 2 <br />Site Safety Concerns <br />See Health and Safety Plan <br />1 } Sample SVE system (bag samples) according to the following schedule <br />• <br />Take bag samples on even dated Wednesdays <br />2) Sample GW E system (water samples) acoording to the following schedule <br />ftF j <br />:.w.rr�ir'. �n':�.� • Y - <br />SVE Ir flisent <br />SVE,Effluent', <br />TPHg/BTEX/MteE <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 GW E system (water samples) acoording to the following schedule <br />ftF j <br />:.w.rr�ir'. �n':�.� • Y - <br />sr�% <br />tom«EMIR.- <br />Vit?; .' � . ► <br />. .�� ' <br />Analyze samples by 6260 for oxygenates TBA, MtBE, DIPS, TAME, E(BE, 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 />Comments I Remarks from Field Staff fN` <br />Completed By: S�r Date: / 1%�d e <br />t_+CM- iW$44d Nen " K&QU' sr b5 <br />SECOR <br />rnlemahonar kKnrporated <br />