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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 Ketfleman 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 />Profect "type <br />QX Operation & Maintenance <br />El Sampling <br />1st Time Visit <br />❑ Quarterly <br />—I St —2nd _3rd _4th <br />Monthly <br />Semi -Monthly <br />❑ <br />X Weekly <br />El One Time Event <br />Other: <br />Field Date: Wednesdays at 10 am <br />Sample SVE system (bag samples) according to the following schedule <br />Take bag samples on even dated Wednesdays <br />2) Sample GWE system (water samples) according to the following schedule <br />SV E Inillaent <br />SVEEitluent�r <br />TPHg/BTEX/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 />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: ��4 <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, ETRE, ethanol, methanol, 1,2 -DCA, EDB <br />M = Monthly ... <br />O = Quarterly, Quarterly sam les = Jan, ril, Jul , Nov. <br />3) Call site engineer before leaving site. <br />r <br />Completed By��j�/� Date: <br />1%'W0nn$%Fw1p :.je(VIC6 Hequesl.xts <br />oma. <br />SECOR <br />Intemallonal InCplporated <br />_ <br />a• <br />���r,,,�,,,��� <br />e__64 <br />Fe__64 <br />Check Appropriate Category <br />❑X Budget Site Visit <br />Out of Budget Site Visit <br />Budget Hours: 2/4 <br />Actual Hours: ��4 <br />Mob/de Mob: 2 <br />Site Safety Concerns <br />See Health and Safety Plan <br />Analyze samples by 8260 for oxygenates TBA, MtBE, DIPE, TAME, ETRE, ethanol, methanol, 1,2 -DCA, EDB <br />M = Monthly ... <br />O = Quarterly, Quarterly sam les = Jan, ril, Jul , Nov. <br />3) Call site engineer before leaving site. <br />r <br />Completed By��j�/� Date: <br />1%'W0nn$%Fw1p :.je(VIC6 Hequesl.xts <br />oma. <br />SECOR <br />Intemallonal InCplporated <br />