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FIELD SERVICES REQUEST <br />ITE 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 />Pro'ect Type <br />QX Operation & Maintenance <br />Sampling <br />1st Time Visit <br />F] Quarterly <br />1st 2nd 3rd _ath <br />Monthly ` <br />Semi -Monthly <br />LFvl Weekly <br />One Time Event <br />F] Other: <br />Field Date: Wednesdays at 10 am <br />'f Sample SVE system (bag samples) according to the following schedule <br />• <br />Take bag samples on even dated Wednesdays <br />2 Sam a GWE system (water samples) according to the following schedule <br />Check Appropriate Cateao <br />Fx]Budget Site Visit <br />U Out of Budget Site Visit <br />Budget Hours: 416 <br />Actual Hours: (,; <br />Mob/de Mob: 2 <br />Site Safety Concerns <br />See Health and Safetv Plan <br />qpa a samples by 8260 for oxygenates TELk WE, DIPS, TAME, EtBE, ethanol, methanol, 1,2 -DCA, EDB <br />M = Monthly <br />Q = Quarterly, Quartedy samples = Jan, April, July, Nov. <br />3 Call site engineer before leaving site. <br />Comments ! Remarks from Field Staff <br />7L'2 <br />Completed By: <br />K �F plRgM�40 b -_-"Ce IP5 <br />Date: ! d/ <br />SECOR <br />InlernaUOnal lm[ pealed <br />aSNEjpil t, <br />„Sl)'EiEffliaeh <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 Sam a GWE system (water samples) according to the following schedule <br />Check Appropriate Cateao <br />Fx]Budget Site Visit <br />U Out of Budget Site Visit <br />Budget Hours: 416 <br />Actual Hours: (,; <br />Mob/de Mob: 2 <br />Site Safety Concerns <br />See Health and Safetv Plan <br />qpa a samples by 8260 for oxygenates TELk WE, DIPS, TAME, EtBE, ethanol, methanol, 1,2 -DCA, EDB <br />M = Monthly <br />Q = Quarterly, Quartedy samples = Jan, April, July, Nov. <br />3 Call site engineer before leaving site. <br />Comments ! Remarks from Field Staff <br />7L'2 <br />Completed By: <br />K �F plRgM�40 b -_-"Ce IP5 <br />Date: ! d/ <br />SECOR <br />InlernaUOnal lm[ pealed <br />