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FIELD SERVICES REQUEST <br />SITE 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 2o-Feb-2oo1 <br />Field Tasks General Description <br />Protect Type <br />�X Operation & Maintenance <br />Sampling <br />❑ 1 st Time Visit <br />❑ Quarterly <br />_1st —2nd —3rd —4th <br />Monthly <br />Semi -Monthly <br />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 />Check Appropriate Cat o <br />QX Budget Site Visit <br />E] Out of Budget Site Visa <br />Budget Hours 4A6 <br />Actual Hours 7 <br />Mob/de Mob 2 <br />Site Safety Concerns <br />See Health and Safety Plan <br />2) Sample GWE Mtem (water samples) according to the following schedule _ <br />Analyze samples by 13260 for oxygenates TBA, MtBE, DIPS, 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 leaven stte <br />G <br />Completed By. ��_ Date. % SECOR <br />tntemat W k*coaoMed <br />K Wprn %J IK"d SeMLe Heauest las <br />TPHg/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 />Check Appropriate Cat o <br />QX Budget Site Visit <br />E] Out of Budget Site Visa <br />Budget Hours 4A6 <br />Actual Hours 7 <br />Mob/de Mob 2 <br />Site Safety Concerns <br />See Health and Safety Plan <br />2) Sample GWE Mtem (water samples) according to the following schedule _ <br />Analyze samples by 13260 for oxygenates TBA, MtBE, DIPS, 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 leaven stte <br />G <br />Completed By. ��_ Date. % SECOR <br />tntemat W k*coaoMed <br />K Wprn %J IK"d SeMLe Heauest las <br />