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FIELD SERVICES <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 Com an <br />Client P.O.C: Bob Cochran <br />Date of Request: 23 Aug -2001 _ <br />Prolect Type_ <br />0 Operation & Maintenance <br />[) Sampling <br />❑ 1 st Time Visit <br />Quarterly <br />_ 1 St. _ 2nd _ 3rd 4th <br />Monthly <br />El Semi -Monthly <br />2 Weekly <br />El One Time Event <br />Other: <br />Field Date: Wednesdays at 10 am <br />Field Tasks General Description <br />1 Sample SVE system (bag samples) aocording to the following schedule <br />Hg/BTEX/MtBE 2x per Month 2x per Month <br />} 2x per Month I 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 Appr22riate Category <br />Q Budget Site Visit <br />Out of Budget Site Visit <br />Budget Hours: 2/4 <br />Actual Hours: .. <br />Mob/de Mob: 2 <br />Site Safety Concerns <br />See Health and Safe Plan <br />Analyze samples by 8260 for oxygenates TBA, MtBE, DIPE, TAME, ETBE, ethanol, methanol, 1,2 -DOA, EDB <br />M = Monthly <br />r.. Q = Quarterly, Quarterly samples = Jan, April, July, Nov. <br />S Call site engineer before leavNig site. _ <br />t� <br />Completed By:�y—�`7r--� Date: SECOR <br />_voJntematimw hoorp owed <br />KV0rrf4y-r G Semce HeQuesuds <br />