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I <br /> FIELD SERVICES REQUEST <br /> SITE INFORMATION FORM <br /> Identification Proiect Type Check Appropriate Cate or <br /> Project#: 77C1-t.90557.00.0350 ❑ Operation R Maintenance F] Budget Site Visit <br /> Station ID #: Chevron 9-0557 ❑X Sampling Out of Budget Site Visit <br />' Site Address: 139 S. Center St. L] 1st Time Visit <br /> Stockton, CA F-] Quarterly Budget Hours: 3 <br /> Lab: Lancaster _1st _2nd _3rd _4th Actual Hours: <br /> County: Monthly Mob/de Mob: 2 <br /> Project Manager: Bill Brasher Semi-Monthly <br />' Requester: Bob Jackson Weekly Site Safety Concerns <br /> Client: Chevron EMC F-1 One Time Event high traffic hazard during field <br /> Client P.O.C.: Bob Cochran E] 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 /> Meet with Requestor prior to leaving for the field <br /> Load Horriba U-22 on truck/P/U at Envirosupply <br /> Obtain 0909 key for gate <br /> Load Ozone meter on truck <br /> Bring a necessary tools socket set, sampling gloves etc <br /> Load sample bottles on truck <br />' Load Hach Ferrous Iron kit on truck <br /> Field Tasks General Description <br />' Contact site engineer upon arrival at site (Bob Jackson cell 501-2451) <br /> Calibrate Ozone meter& Horriba U-22 prior to beginning work <br /> Enter Ozone sparge compound and test ambient air with ozone meter proceed to test effluent far,duct prior to opening control box <br /> Obtain well parameters from MW-1,MW-2, MW-9 MW-9A, MW-9S,MW-10&MW-11 <br /> Obtain well parameteres pH,Cond,Turbidity,D.Q.,Temp,P.D.,Salinity,TDS and O.R.P.&DTW <br />' Sample welts for TPHg,TPHd,TPHmo,BTEX,MtBE and 9 oxygenates(sub (, 8 yda`s art, 2*bers per well to samples to Lancaster labs) <br /> Complete an LPO (mandatory to turn 1 in a month) <br />' ontact site engineer prior to leaving site <br /> Comments / Remarks from Field Staff <br />' Completed By: Date: SECOR <br /> I nt a mation al incorporated <br /> .rurms"eta Service bequest Kis <br />