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FIELD SERVICES REQUEST <br /> SITE INFORMATION FORM <br /> y 4 v <br />' Identification Project Type Check Appropriate Category <br /> Project #: 77CH.905s7.0o.0850 E] Operation & Maintenance F] Budget Site Visit <br /> Station ID #: Chevron 9-0557 [E Sampling Out of Budget Site Visit <br /> Site Address: 139 S. Center SL F] 1 st Time Visit <br /> Stockton, CA El Quarterly Budget Hours: 3 <br />' Lab: Lancaster _1st —2nd _3rd _4th Actual Hours: <br /> County: ❑X Monthly Mob/de Mob: 2 <br /> Project Manager: Bill Brasher Semi-Monthly <br />' Requester: Bob Jackson Weekly Site Safety Concerns <br /> Client: Chevron EMC One Time Event high traffic hazard during field <br />' Client P.O.C: Bob Cochran Other: Weekly for the first month at this site traffic control and <br /> Date of Request: 12120/02 Field Date: visibility essential <br />' Pre Field Activities <br /> [MMeet with Requestor prior to leaving for the field and obtain initials <br /> �- Load Horriba U-22 on truck/P/U at Envirosupply A,:t i _, <br />' ®Bring a necessary tools socket set, sampling gloves etc ^ <br /> Load Hach Ferrous Iron kit on truck <br />' �'G -4✓,JDr14"' S-+r-, Ifs r�'.lI�. -SKr ; i 7 t-J C" •r -y,.a '��LS c,�! <br /> r <br /> MAt_ rgp&S 01:: w r 2 SrM�!t, .l lb tfta StNt44. <br /> Field Tasks General Description <br />' =Contact site engineer upon arrival at site (Bob Jackson cell 501-2451) <br /> [771calibrate Ozone meter& Horriba U-22 prior to beginning work <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.O.,Temp, P.D.,Salinity,TDS and O.R.P.&DTW <br /> Complete an LPO(mandatory to turn 1 in a month) <br /> [=Contact site engineer prior to leaving site <br /> 1 1 <br /> Comments / Remarks from Field Staff <br /> 1 <br /> Completed By: Date: SECOR <br /> I ntemati onal Incorporated <br />;:%J-0M1GV-HH0 Sernce HBglleSl-x15 <br />