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I <br /> FIELD SERVICES REQUEST <br /> ITE INFORMATION FORM ' <br /> Identification Project Type Check Appropriate Cate a <br /> Project #: 77CH.90557.00.0350 Operation & Maintenance ❑ Budget Site Visit <br /> Station ID #: Chevron 9-0557 X� Sampling ❑ Out of Budget Site Visit <br /> Site Address: 139 S. Center St. 1 st Time Visit <br /> Stockton, CA Quarterly Budget Hours: 3 <br /> Lab: Lancaster _1 st 2nd _3rd _4th Actual Hours: <br /> County: Monthly Mob/de Mob: 2 <br /> IProject Manager: Bill Brasher Semi-Monthly <br /> Requester: Bob Jackson ❑ Weekly Site Safety Concerns <br /> Client: Chevron EMC F] One Time Event high traffic hazard during field <br />' Client P.O.C.- Bob Cochran n Other: Weekly for the first month at this site traffic control and <br /> Date of Request: Field Date: visibility essential <br /> Pre Field Activities <br /> eet with Requestor prior to leaving for the field <br /> oad Horriba U-22 on truck <br />' btain 0909 key for gate <br /> r-79-Load Ozone meter on truck <br /> 14Ering a necessary tools socket set, sampling gloves etc <br /> Load sample bottles on truck _ <br />' . Load Hach Ferrous Iron kit on truck 6--t-l> <br /> Field Tasks General Description <br />' ,qWContact site engineer upon arrival at site (Bob Jackson cell 501-2451) <br /> M,,ycaiibrate Ozone meter& Horriba U-22 prior to beginning work Wo d41 ig,Mrk.,j So/..Tra.r 4±2100V h!J HomF44A <br />' MEnter Ozone sparge compound and test ambient air with ozone meter proceed to test effluent fan duct prior to opening control box <br /> r7mobtain well parameters from MW-1,MW-2,MW-9 MW-9A, MW-9S, MW-10&MW-11 <br /> btain well parameteres pH,Cond,Turbidity, D.O.,Temp, P.D.,Salinity,TDS and O.R.P.&DTW <br /> sample wells for TPHg,TPHd,TPHmo,BTEX,M1BE and 9 oxygenates(submitAvoa's and 2 ambers per well to samples to Lancaster labs) <br /> Complete an LPO (mandatory to turn 1 in a month) <br /> Contact site engineer prior to leaving site <br /> Comments I Remarks from Field Staff <br /> I <br /> I <br />' Completed B : Date: SECOR <br /> p Y <br /> In to mabonal Incorporated <br /> _M-orms%kiala service rlequeslXIS <br />