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I <br /> FIELD SERVICES REQUEST <br /> SITE INFORMATION FORM _ <br /> Identification Prosect Type Check Appropriate Cate or <br /> Project #: 77CH.90557.00.0350FX] Operation & Maintenance Budget Site Visit <br /> _ ..—....-------- <br /> Station ID #: Chevron 90557 F] Sampling ❑ Out of Budget Site Visit <br /> Site Address: 139 South Center Street F] 1 st Time Visit <br /> Stockton, CA F] Quarterly Budget Hours: 2 <br /> Lab: Lancaster Laboratories —1st _2nd _3rd _4th Actual Hours: <br /> County: San Joaquin ❑ Monthly Mob/de Mob: 1.5 <br /> Project Manager: William 1 Brasher ❑ Semi-Monthly <br /> Requester: Bob Jackson X_1 Weekly Site Safety Concerns <br /> Client: Chevron EMC One Time Event establish safety zone, cone off <br /> Client P.O.C: Bob Cochran Other: Baseline working area <br /> Date of Request: Field Date: <br /> Pre Field Activities <br />' �7yv- Meet with requester prior to leaving for the field r` <br /> Load Ozone meter on truck _ <br /> ®Obtain 0909 key for remediation compound <br /> Load socket set on truck <br />'MED—Coad european contact switch, load ozone monitor badges <br /> NW <br /> yield Tasks General Description <br /> Contact site engineer upon arrival (Bob Jackson's cell # 501-2451) <br /> OMCalibrate ozone meter./wear ozone badge <br /> Enter ozone sparge' compound and test ambient air with ozone meter proceed to test effluent fan duct for ozone sparge control panel one <br /> Proceed with ozone <br /> -- - - <br /> monitoring of sparge points to include solenoid manifold <br /> �E]Complete field data sheet/conduct O&M operations <br />' Monitor ozone monitoring points for the presence of ozone, record findings <br /> U79replace contact switch/contact Bob Jackson regarding PSI supply to ozone sparge wells <br /> 0719omplete an LPO (one required a month) <br /> Call site engineer prior to leaving site <br /> tv <br /> Comments / Remarks from Field Staff <br /> ICompleted By: Date: SECOR <br /> K+FormsV-ieid Service Hequesl.xls <br />