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FIELD SERVICES REQUEST <br />E INFORMATION FORM <br />IIdentification_ <br />Project #: 077.43452.550 <br />Station ID #: Chevron 95775 <br />Site Address: 301 West Kettleman Lane <br />Lodi, CA <br />' Lab: Kiff Analytical <br />County: San Joaquin <br />' Project Manager: Ron Chinn <br />Requester: David M. Evans <br />Client: Chevron Products Company <br />Client P.O.C: Bob Cochran <br />Proiect_Type <br />QX Operation & Maintenance <br />F[ Sampling <br />❑ 1st Time Visit <br />n Quarterly <br />71st ,2nd _3rd —4th <br />F1 Monthly <br />Semi -Monthly <br />0 Weekly <br />F] One Time Event <br />[] Other: <br />Date of Request: 20 -Feb -2001 Field Date: Wednesdays at 10 am <br />Field Tasks General Description <br />' 1) Sample SVE system (bag samples) according to the following schedule <br />TPHg/BTEX/MtSE 2x per Month 2x per Month <br />FID 2x per Month 2x per Month <br />Take bag samples on even dated Wednesda s <br />' 2) §Myle GWE system (water samples) according to the following schedule <br />Actual Hours: z,, - _ <br />Mob/de Mob: 2 <br />Site Safety Concerns <br />See Health and Safety P!an <br />Analyze am <br />pies by 8260 for oxygenates TBA, MtBE, DIPS, TAME, EtBE, ethanol, methanol, 1,2 -DCA, EDB <br />M -Monthly <br />Q = Quarterty, Quarterty samples = Jan, April, July, Nov_ _ <br />S) Call site engineer'before leaving site. <br />Comments / Remarks from Field Staff <br />13 <br />4 �v <br />Completed BY: �rrX Date: SECOR <br />Y,teffud iW kmorpwoed <br />Forrmww"a swr KoQuesUft <br />Check Appropriate Category <br />0 Budget Site Visit <br />❑ Out of Budget Site Visit <br />Budget Hours: 4/6 <br />71st ,2nd _3rd —4th <br />F1 Monthly <br />Semi -Monthly <br />0 Weekly <br />F] One Time Event <br />[] Other: <br />Date of Request: 20 -Feb -2001 Field Date: Wednesdays at 10 am <br />Field Tasks General Description <br />' 1) Sample SVE system (bag samples) according to the following schedule <br />TPHg/BTEX/MtSE 2x per Month 2x per Month <br />FID 2x per Month 2x per Month <br />Take bag samples on even dated Wednesda s <br />' 2) §Myle GWE system (water samples) according to the following schedule <br />Actual Hours: z,, - _ <br />Mob/de Mob: 2 <br />Site Safety Concerns <br />See Health and Safety P!an <br />Analyze am <br />pies by 8260 for oxygenates TBA, MtBE, DIPS, TAME, EtBE, ethanol, methanol, 1,2 -DCA, EDB <br />M -Monthly <br />Q = Quarterty, Quarterty samples = Jan, April, July, Nov_ _ <br />S) Call site engineer'before leaving site. <br />Comments / Remarks from Field Staff <br />13 <br />4 �v <br />Completed BY: �rrX Date: SECOR <br />Y,teffud iW kmorpwoed <br />Forrmww"a swr KoQuesUft <br />