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ARCHIVED REPORTS XR0003047
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0508132
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ARCHIVED REPORTS XR0003047
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Entry Properties
Last modified
10/10/2018 8:58:06 AM
Creation date
10/9/2018 4:42:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS XR0003047
FileName_PostFix
XR0003047
RECORD_ID
PR0508132
PE
2957
FACILITY_ID
FA0007953
FACILITY_NAME
CHEVRON #9-5775
STREET_NUMBER
301
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04514002
CURRENT_STATUS
01
SITE_LOCATION
301 KETTLEMAN LN
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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FIELD SERVICES REQUEST <br />�' <br />ITE INFORMATION FORM k� <br />��� r .r f � V '.. i TLS 'p } <p\ .4^ ����� �•.' A.. <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 Ana! ical <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 />rX Operation & Maintenance <br />❑ Sampling <br />❑ 1st Time Visit <br />Ouarterly <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 />• TPHg/6TEX/MtBE 2x per Month 2x per Month <br />FID 2x per Month 2x per Month <br />Take bag samples on even dated Wednesdays <br />2 Sample GWE system water samples) according to the following schedule <br />Check Appropriate Category_ <br />�X Budget Site Visit <br />Out of Budget Site Visit <br />Budget Hours: 4/6 <br />Actual Hours: _ _7 <br />Mob/de Mob: 2 <br />Site Safety Concerns <br />See Health and Safety Plan <br />Ana�ze samples by 8260 for oxygenates TBA, MtBE, DIPE, TAME, EtBE, ethanol, methanol, 1,2 -DCA, )EDB <br />— M = Monthly r _„ <br />Q = Quarterly, Quarterly samples = Jan, April, July, Nov. <br />3� Call site engineer before leaving site. <br />r � <br />Completed By: <br />II?For M%1-oW `.ier_C@ NeQue61.Ftl5 <br />lJ _27 L <br />Date: <br />`r <br />SECOR <br />hleffumona wcorp"ed <br />
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