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I � <br /> FIELD SERVICES REQUEST <br />' SITE INFORMATION FORM x <br />' Identification Prosect Type Check Appropriate Cate or <br /> Project#: 77CH.90557.o0.0350 Operation & Maintenance ❑X Budget Site Visit <br /> Station ID #: Chevron 90557 Sampling Out of Budget Site Visit <br />' Site Address: 139 South Center Street ❑ 1 st Time Visit <br /> Stockton, CA El Quarterly Budget Hours: 1.5 <br />' Lab: Lancaster Laboratories —1st _2nd —3rd —4th Actual Hours: <br /> County: San Joaquin ❑ Monthly Mob/de Mob: 1.5 <br /> Project Manager: William E Brasher ❑ Semi-Monthly <br />' Requester: Bob Jackson [X Weekly Site Safety Concerns <br /> Client: Chevron EMC 0 One Time Event establish safety zone,cone off <br />' Client P.O.C: Bob Cochran F� Other: Baseline working area <br /> Date of Request: Field Date: <br />' Pre Field Activities <br /> r7r1meet with requestor prior to leaving for the field <br /> OLoad Ozone meter on truck ��� ,�� &,f �f - a„�s,r-Z, �? �y�r <br /> . � r-t � r7 � �4� 1!. <br />' Obtain 0909 key for remediation compound <br /> r7voad socket set on truck <br /> Field Tasks General Description <br /> MMPontact site engineer upon arrival (Bob Jackson's cell #501-2451) <br /> =Enter <br /> ozone meter. 641,�TZD g,, 9041 r iA1VA$�+ <br /> L Proceed with ozone monitoring of sparge points t0 Include solenoid manifold fan duct for ozone sparge control panel <br /> Enter ozone sparge com and and test ambient air w�ozone mete proceed - -- <br /> compound r proceed to test elft <br /> n <br /> =Complete field data sheet/conduct O&M operations - <br />' MMonitor ozone monitoring points for the presence of ozone, record findings <br /> OTake a photograph with digital camera of ozone panel and compound (several of each/differenct angles) <br /> r—1 <br /> Compiete an LPO (one required a month) <br /> Call site engineer prior to leaving site <br /> Comments / Remarks from Field Staff <br /> 1 <br /> 1 <br /> Completed By: Date: SECOR <br />�',0-ortrnlFwM Seroce Heque9t,MS nwuw wuan,nn on<+ <br />