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I <br /> FIELD SERVICES REQUEST <br /> SITE INFORMATION FORM <br /> Identification Protect Type Check Appropriate Category <br /> Project# 77CH 91452 03 0350 E] Operation & Maintenance Q Budget Site Visit <br /> Station ID# Chevron 91452 E] Sampling F� Out of Budget Site Visit <br /> Site Address 334 East Main Street F� 1 st Time Visit <br /> Ripon, CA Quarterly Budget Hours 8 <br /> Lab Lancaster _1st —2nd 3rd 4th Actual Hours /J�- <br /> County San Joaquin Q Monthly Mob/de Mob 2 <br /> Project Manager David Evans Semt-Monthly <br /> Requester Karam Parmar Bi-Weekly Site Safety Concerns <br /> Client Chevron EMC One Time Event See Health and Safety Plan <br /> Client P O C Bob Cochran Other <br /> Date of Request 15-Apt-2004 Field Date / d <br /> Pre Field Activities <br /> 1) Load necessary tools and sampling equipment on truck <br /> Field_Tasks General Despnpition <br /> 1 Contact site engineer upon arrival David Evans, ext 234 or Karam Parmar ext 286 <br /> 2 Review Health and Safety Plan HASP <br /> 3) You will be supervising lWM as they extract water from MW-8(Approximately 6,000 gallons) <br /> IWM will be using a submersible pump to extract the water <br /> They will supply their own pump and generator <br /> 4 Check in with Station Manager <br /> 4) Set up Vac truck so it does not interfere (or interferes as little as possible)with the business <br /> 6 Prior to beginning extraction, collect manual water level measurements on MW-1, MW-2, MW-3, <br /> MW-4, MW-5D, MW-5S, MW-6D, MW-6S, MW-7D, and MW-8 <br /> Record water level measurements in the attached table Note initial totalizer reading <br /> 7 Collect groundwater sample from MW-8 no purge) <br /> 8) Instruct IWM to begin extracting water Vac truck can handle approximately 6,000 gallons <br /> 9 Collect manual measurements on above wells hour) (except MW-8 <br /> 10) When Vac truck is full, collect sample from MW-8 with the bailer Note final totalizer reading <br /> 11 Contact site engineer prior to leaving <br /> 12 Complete sample chain-of-custody time <br /> 13) Return samples to office and place in refrigerator <br /> 14 Place sample chain and field notes on Karam Parmar's desk <br /> She will prepare samples for shipping <br /> Comments / Remarks from Field Staff!` <br /> �/+�• �v�d O r► 3'r�C_ Com+.►pj S�-7� � 1.,//// I'-ir � .EaCL/G,?, ��[�� <br /> Completed By �� Date y /S D� SECOR <br /> Internauonallncorporatea <br /> K%horrts%hield t)emce keque5t%Is <br />