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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 Kettlemen 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 />Protect Type <br />0 Operation & Maintenance <br />0 Sampling <br />1 st Time Visit <br />Quarterly <br />_1st _2nd _3rd Y 4th <br />Monthly <br />EJ Semi -Monthly <br />r_-1 Weekly <br />One Time Event <br />E] Other: <br />Field Date: Wednesdays at 10 am <br />1) Sample SVE system (bag samples) according to the following schedule <br />YG1/Ef <br />._ l <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 Category <br />0 Budget Site Visit <br />E] Out of Budget Site Visit <br />Budget Hours: 2/4 <br />Actual Hours: Inv, .-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, DIPS, TAME, EfBE, ethanol, methanol, 1,2 -DCA, EDB <br />M = Monthly <br />_Q = Quarterly, Quarterly samples = Jan, April, July, Nov. _ <br />3) Call site ennineer before leaving site. <br />Comments 1 Remarks .from Field Staff <br />S: <br />.��� rf�� <br />i <br />Completed By: S-e.c^e— <br />Il'wQrh75wreltl tierv+CS MequeS[.%IS <br />Date: <br />SECOR <br />IntemMonW kx*rporWed <br />