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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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Entry Properties
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
Scanner
TMorelli
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EHD - Public
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FIELD SERVICES REQUEST <br />E INFORMATION FORM <br />Identification <br />Project # 077.43452550 <br />Station ID 4 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 />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 />Q Weekly <br />One Time Event <br />[� Other <br />f=ield Date Wednesdays at loam <br />1) Sample SVE system (bag samples) according to the following schedule <br />i'1`nffiierit SVEiEfflueitt <br />• TPH91BTEX/MtBE 2x per Month 2x per Month <br />FID I 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 <br />416 <br />Actual Hours , _!� <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, ELBE, ethanol, methanol, 1,2 -DCA, EDB <br />M = Monthly <br />Q = Quarterly, Quarterly samples =,fan, April, July, Nov <br />3) Call site engineer before leaving site <br />Comments 1 Remarks from Field Staff <br />/,'� 1-111., <br />C J fY� �.- r �� n r ,-,. / / �3�0. /. ��`« C��� �r-1+-1 .S' ��'-✓ �41�e/'i7/Q <br />c1 e> �o O t'r t7i i �1 r"Yt cs / 6 , •/—> %41r _ /�, /_ �- <br />-7 v <br />Completed By �r <br />—7' Date / �� d S EC QR <br />tn,arnadonai W$00rP4"ed <br />K YorrrtSlF WWd ,0ry CO HOW"e ns <br />
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