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FIELD SERVICES REQUEST <br />TE INFORMATION FORM <br />Identification <br />Project # 077 43452 550 <br />Station ID # Chevron 95775 <br />Site Address 301 West Ketfleman 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 />Date of Request 20 -Feb -2001 <br />Field Tasks General Description <br />Project Type <br />Q Operation & Maintenance <br />E] Sampling <br />1 st Time Visit <br />F] Quarterly <br />_1st _2nd ,3rd `4th <br />F] Monthly <br />Semi -Monthly <br />�X Weekly <br />One Time Event <br />❑ Other <br />Field Date Wednesdays at 10 am <br />1) Sample SVE systern (bag samples) according to the following schedule <br />. . . . . . . . . . . . . ......... <br />eel <br />TPHgBTEX/MtBE <br />FID <br />2x per Month <br />2x per Month <br />2x per Month <br />2x per Month <br />Take bag samples on even dated Wednesdays <br />2 le 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 <br />416 <br />Actual Hours �, <br />Mob/de Mob 2 <br />Site Safety_ Concerns <br />See Health and Safety Plan <br />Anatyze samples by t?<M for 2nZmtes TBA, MtBE, DIPS, TAME, EtBE, ethanol, methanol, 1,24DCA. EDB <br />M = Monthly <br />Q = Quarterly, Quarterly samples = Jan, Apnl, July, Nov <br />S Cali site engineer before leaving site _ <br />Completed By S 144- If <br />K WOn1iWMl/d 3erw[e HeCr_ms )2s <br />Date !Z�/ <br />SECOR <br />6,temwtwxvil U,00rpomled <br />