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ARCHIVED REPORTS XR0003053
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0508132
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ARCHIVED REPORTS XR0003053
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Last modified
10/10/2018 8:59:26 AM
Creation date
10/9/2018 5:05:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS XR0003053
FileName_PostFix
XR0003053
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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TMorelli
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EHD - Public
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FIELD SERVICES REQUEST <br />as t! ifi�,i'kip,, �yFx_' r E e I. <br />TE INFORMATION FORM �r �� ,���Ly� <br />Identification <br />Protect # 07743452550 <br />Station ID # Chevron 95775 <br />Site Address 301 West Kettleman Lane <br />Codi, CA <br />Lab Kiff Analytical <br />County San Joaquin <br />Protect 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 Descrl tion <br />Protect Type <br />�X Operation & Maintenance <br />Sampling <br />1 st Time Visit <br />EJ Quarterly <br />_1st _2nd 3rd _4th <br />n Monthly <br />❑ Semi -Monthly <br />FX 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 />• <br />Take bag samples on even dated Wednesdays <br />2) Sample GWE system (water samples) according to the following schedule <br />NOV— <br />. n an <br />~ ven <br />TPH91BTEX/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 GWE system (water samples) according to the following schedule <br />NOV— <br />RIM <br />TPH TEX/8260 WeeklyWeekly-_weeklyWeekl <br />Check Appropriate CatggorV <br />QX Budget Site Visit <br />Out of Budget Site Visit <br />Budget Hours 416 <br />Actual Hours I_ , CU <br />Mob/de Mob 2 <br />Site Safety Concerns <br />See Health and Safety Plan <br />Analyze samples by 8260 for oxygenates TBA, MtBE, DIPE, TAME, EtBE, ethanol, methanol, 1,2 -DCA, EDB <br />M = Monthly <br />Q = Quarterly, Quarterly samples = Jan, April, July, Nov <br />3) Call site engineer before leaving site <br />Completed By Date g J5 v S ECOR <br />>ntarnWKx* Iea <br />K Wor"wW aW JennCe Hequest 145 <br />
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