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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 />FIELD SERVICES REOUEST <br />Project Type <br />❑X Operation & Maintenance <br />Sampling <br />F] 1 st Time Visit <br />n Quarterly <br />1st 2nd 3rd 4th <br />Monthly <br />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 GW E system (water samples) according to the following schedule <br />Check A ro riate Cate o <br />�X Budget Site Visit <br />Out of Budget Site Visit <br />Budget Hours: 416 <br />Actual Hours: _ �.G <br />Mob/de Mob: 2 <br />Site Safety Concerns <br />See Health and Safety Plan <br />AnabTe samples by 8250 for oxygenates TBA, MtBE, IN PE, TAME, EtBE, ethanol, methanol, 1,2 -DCA, EDB <br />M = Monthly_- . <br />Q = Quarterly, Quarterly samples = Jan, April, July, Nov. <br />3Call site engineer before leaving site. <br />Comments I Remarks from Field Staff <br />y / / r ` / /. /-A -%—/— _'_, Al <br />Completed By: � Date: SECOR <br />R:IF '16tF <br />Orni1Y0 SIfNG[ K[Qu[SI.xfS <br />lrnernat7ona I IncorpOra led <br />;SVE-Infjuent <br />SVE Effluent . <br />TPH9/BTEX/MtBE <br />FID <br />2x per Month <br />2x per Month <br />2x per Month <br />2x per Month <br />Take bag samples on even dated Wednesdays <br />2) Sample GW E system (water samples) according to the following schedule <br />Check A ro riate Cate o <br />�X Budget Site Visit <br />Out of Budget Site Visit <br />Budget Hours: 416 <br />Actual Hours: _ �.G <br />Mob/de Mob: 2 <br />Site Safety Concerns <br />See Health and Safety Plan <br />AnabTe samples by 8250 for oxygenates TBA, MtBE, IN PE, TAME, EtBE, ethanol, methanol, 1,2 -DCA, EDB <br />M = Monthly_- . <br />Q = Quarterly, Quarterly samples = Jan, April, July, Nov. <br />3Call site engineer before leaving site. <br />Comments I Remarks from Field Staff <br />y / / r ` / /. /-A -%—/— _'_, Al <br />Completed By: � Date: SECOR <br />R:IF '16tF <br />Orni1Y0 SIfNG[ K[Qu[SI.xfS <br />lrnernat7ona I IncorpOra led <br />