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FIELD SERVICES REQUEST <br />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 />Field Tasks General Description <br />Proiect Type <br />Operation & Maintenance <br />Sampling <br />1 st Time Visit <br />Quarterly <br />_1st _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 />• <br />SVE Influe�ta , <br />SVE!Eftluent <br />TPHg/BTEX/MtBE 2x per Month <br />2x per Month <br />FID 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 Cate or <br />�X Budget Site Visit <br />Out of Budget Site Visit <br />Budget Hours: <br />2/4 <br />Actual Hours: <br />Mob/de Mob: 2 <br />Site Safety Concerns <br />See Health and Safety Plan <br />Analyze samples by 8260 for oxy enates TBA, MtBE, DIPS, TAME, ETBE, ethanol, methanol, 1,2 -DCA, EDB <br />M = Monthly <br />Q = Quarterly, Quarterly samples = Jan, Apl, July, Nov. <br />3) Call site enoineer before leaving site. <br />Comments / Remarks .from Field Staff <br />Completed By: , <br />K vor"WieOG NONIce rsequesl.Kis <br />Date: 1:44_ <br />SECOR <br />IMemanonai ieal wated <br />