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ARCHIVED REPORTS XR0003053
EnvironmentalHealth
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KETTLEMAN
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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
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EHD - Public
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FIELD SERVICES REOUEST <br />IS I SITE INFORMATION FORM <br />110 <br />Identification <br />Protect # 077 43452 550 <br />Station ID # Chevron 95775 <br />Site Address 301 West Keffleman Lane <br />Lodi, 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 Description <br />Protect Type <br />QX Operation & Maintenance <br />❑ Sampling <br />rl 1st Time Visit <br />Quarterly <br />1 St —2nd _3rd —4th <br />Monthly <br />rl Semi -Monthly <br />�X Weekly <br />One Time Event <br />Other <br />Field Date Wednesdays at loam <br />1 Sample SVE system (bag samples) according to the following schedule <br />Take back samples on even dated Wednesdays <br />Sample GWE system (water samples) according to the following schedule_ <br />Check -Appropriate Catecto <br />QX Budget Site Visit <br />Out of Budget Site Visit <br />Budget Hours 4/8 <br />Actual Hours 29- 5 G, <br />Mob/de Mob 2 <br />Site Safety Concerns <br />See Health and Safety Plan <br />Analyze samples by 8260 for oxygenates TBA, MOE, DIPE, TAME, ELBE, ethanol, methanol, 1,2 -DCA, EDB <br />M = Monthly <br />- <br />0 = Quarterly, Quarterly samples = Jan, April, July, Nov_ R <br />Call site engineer before leavin site _„_ <br />Completed By: <br />Date 7 -Zvi % SECOR <br />fn+emaeond Wcorpor~ <br />K V-Om1$V-� p bAHN" HOCFJ" 43 <br />SV fnfipe <br />S, tfrue*M <br />TPHg/BTEX/MtBE <br />FID <br />2x per Month <br />2x per Month <br />2x per Month <br />2x per Month <br />Take back samples on even dated Wednesdays <br />Sample GWE system (water samples) according to the following schedule_ <br />Check -Appropriate Catecto <br />QX Budget Site Visit <br />Out of Budget Site Visit <br />Budget Hours 4/8 <br />Actual Hours 29- 5 G, <br />Mob/de Mob 2 <br />Site Safety Concerns <br />See Health and Safety Plan <br />Analyze samples by 8260 for oxygenates TBA, MOE, DIPE, TAME, ELBE, ethanol, methanol, 1,2 -DCA, EDB <br />M = Monthly <br />- <br />0 = Quarterly, Quarterly samples = Jan, April, July, Nov_ R <br />Call site engineer before leavin site _„_ <br />Completed By: <br />Date 7 -Zvi % SECOR <br />fn+emaeond Wcorpor~ <br />K V-Om1$V-� p bAHN" HOCFJ" 43 <br />
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