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r <br /> FIELD SERVICES REQUEST <br /> r SITE INFORMATION FORM <br /> h'. <br /> rIdentification Project Type Check Appropriate Cate or <br /> Project#: 77CH.9o557.00.o35o Operation & Maintenance ZX Budget Site Visit <br /> Station ID #: Chevron 90557 E] Sampling F] Out of Budget Site Visit <br /> rSite Address: 139 South Center Street F� 1 st Time Visit <br /> Stockton, CA ❑ Quarterly Budget Hours: 2 <br /> rLab: Lancaster Laboratories 1st _2nd _3rd —4th Actual Hours: <br /> County: San Joaquin F� Monthly Mob/de Mob: 1.5 <br /> Project Manager: William E. Brasher ❑ Semi-Monthly <br /> rRequester: Bob Jackson 0 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 /> rPre Field Activities <br /> Ori Meet with requestor prior to leaving for the field and obtain initials Q <br /> ®Load Ozone meter on truck <br /> r ®Obtain 0909 key for remediation compound _ <br /> ®Load socket set on truck <br /> rA1771load ozone monitor badges <br /> Field Tasks General Description <br /> r Contact site engineer upon arrival (Bob Jackson's cell # 501-2451) <br /> Calibrate ozone meter./wear ozone badge �.- <br /> r r,/ Prior to ozone sparge system start up (if down on arrival) inspect all ozone supply lines. <br /> tANA <br /> him—Enter ozone sparge compound and test ambient air with ozone meter proceed to test effluent fan duct for ozone sparge control panel <br /> UD Proceed with ozone monitoring of sparge points to include solenoid manifold <br /> r ®Complete field data sheet/conduct O&M operations _ <br /> Monitor ozone monitoring points for the presence of ozone, record findings <br /> r ®Conduct all weekly, monthly, quarterly and semi-annual and annual O&M tasks <br /> Complete_an LPO (one required a month) <br /> rQCall site engineer prior to leaving site <br /> Comments / Remarks from Field Staff <br /> r <br /> r <br /> r <br /> Completed By: Date: SECOR <br /> K+tormswHeW SeiV"hiequeat.ws ebu wa unµn mew <br />