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TE INFORMATION FORM <br />Iden ffiU an <br />Project #: 77CH.43452.00.0550 <br />Station ID #: Chevron 9.5775 <br />Site Address: 301 West Keftleman Lane <br />Lodi, CA <br />Lab: Lancaster Laboratories <br />County: San Joaquin <br />Project Manager: Ron Hoffmore <br />Requester: Bob Jackson <br />Client: Chevron Products Company <br />Client P.O.C: Bob Cochran <br />Date of Request: 22 -Mar -2002 <br />10- 'a rm.myeywrtrRnw mm -1 <br />FIELD SERVICES REQUEST <br />P-roject_Tvne <br />0 Operation & Maintenance <br />Sampling <br />1 st Time Visit <br />El Quarterly <br />9st _2nd 3rd 4th <br />Monthly <br />Semi -Monthly <br />�X 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 />TPHg/BTEX/MtBE 2x per Month 2x per Month <br />FID 2x per Month 2x per Month <br />Take bag samples on even dated Wednesdays <br />2) Sample GWE system (water samples) according to the following schedule <br />❑X Budget Site Visit <br />E] Out of Budget Site Visit <br />Budget Hours: 2/4 <br />Actual Flours: <br />Mob/de Mob: 2 <br />Site Safe 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 />Q = Quarterly, Quarterly samples = Jan, April, July, Nov. <br />3) Call site engineer before leaving site. <br />Remarks from Field Sta <br />