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FIELD SERVICES REQUEST <br />'E INFORMATION FORM <br />Identification <br />Project #: 077.43452.550 <br />Station ID #: Chevron 9-5775 <br />Site Address: 301 West Kettleman 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 />Proiect Type <br />nX Operation & Maintenance <br />D Sampling <br />1 st Time Visit <br />Quarterly <br />—I St —2nd 3rd 4th <br />Monthly <br />Semi -Monthly <br />Q Weekly <br />E] One Time Event <br />Other: <br />Field Date: Wednesdays at 10 am <br />Field Tasks Genera! Description <br />1 Sample SVE system (bag samples) according to the following schedule <br />• <br />Take bag samples on even dated Wednesdays <br />2 Sample GWE system (water samples) according to the following schedule <br />SVE lnfiuent # <br />. SVE Effluent fa <br />TPHg/BTEX/MtBE <br />FID <br />2x per Month <br />2x per Month <br />2x per Month <br />2x per Month <br />Take bag samples on even dated Wednesdays <br />2 Sample GWE system (water samples) according to the following schedule <br />Check Appropriate Category <br />[X Budget Site Visit <br />Out of Budget Site Visit <br />Budget Hours: 2/4 <br />Actual Hours: 46.-5- <br />Mob/de Mob: 2 <br />Site Safety Concerns <br />See Health and Safety Plan <br />Analyze samples by 8260 for oxygenates TBA, MtBE, DIPE, TAME, ETBE, ethanol, methanol, 1,2 -DCA, EDB <br />M = Monthly <br />0 = Quarterly, Quarterly samples = Jan, April, July, Nov. <br />31 Call site engineer before leaving site. <br />Completed By: > 7—' Date:Z-2 d SECOR <br />.,. intemationa! incorporated <br />,t wwensq-wo 5ery ce tsequest.xts <br />��- <br />MR. 917 .' <br />Check Appropriate Category <br />[X Budget Site Visit <br />Out of Budget Site Visit <br />Budget Hours: 2/4 <br />Actual Hours: 46.-5- <br />Mob/de Mob: 2 <br />Site Safety Concerns <br />See Health and Safety Plan <br />Analyze samples by 8260 for oxygenates TBA, MtBE, DIPE, TAME, ETBE, ethanol, methanol, 1,2 -DCA, EDB <br />M = Monthly <br />0 = Quarterly, Quarterly samples = Jan, April, July, Nov. <br />31 Call site engineer before leaving site. <br />Completed By: > 7—' Date:Z-2 d SECOR <br />.,. intemationa! incorporated <br />,t wwensq-wo 5ery ce tsequest.xts <br />