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FIELD SERVICES REQUEST <br />BITE INFORMATION FORM I t f �: <br />i <br />Identification <br />Project #: 077.43452.550 <br />Station ID #: Chevron 9-5775 <br />Site Address: 301 West Kettieman Lane <br />Lodi, CA <br />Lab: Lancaster Laboratories <br />County: San Joaquin <br />Project Manager: Ron Chinn <br />Requester: Greg McIver <br />Client: Chevron Products Company <br />Client P.O.C: Bob Cochran <br />Date of Request: 23 -Aug -2001 <br />Field Tasks General Description <br />• <br />Proliect_Twe <br />[]x Operation & Maintenance <br />Sampling <br />❑ 1st Time Visit <br />0 Quarterly <br />—I St _2nd _3rd —4th <br />Monthly <br />Semi -Monthly <br />Q Weekly <br />One Time Event <br />Other: <br />Field Date: Wednesdays at 10 am <br />1) Sample SVE system (bag samples) according to the following schedule <br />r <br />: 056 u Cita F`r <br />e4 VE EfFI eft <br />TPHg1BTEX/MtBE <br />2x per Month <br />2x per Month <br />FID <br />2x per Month <br />2x per Month <br />Take bag samples on even dated Wednesdays <br />AS -ample GWE system (water samples) according to the following schedule <br />Check Appropriate Category <br />0 Budget Site Visit <br />E] Out of Budget Site Visit <br />Budget Hours: <br />2/4 <br />Actual Hours: d <br />Mob/de Mob: 2 <br />Site Safety Concerns <br />See Health and Safety Plan <br />Analyze samples by 8260 for oxygenates TBA, MtBE, DIPS, TAME, ETBE, ethanol, methanol, 1,2 -DCA, EDB , <br />M = Monthly _ <br />Q = Quarterly, Quarterly samples = Jan, April, July, Nov. <br />31 Call site engineer before leaving site. <br />nts / R <br />l <br />Completed By: ���~ Date: S, <br />Internet. <br />K'+rwffmw6m zse"tce mequesi.xis <br />r <br />