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ARCHIVED REPORTS XR0003054
Environmental Health - Public
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EHD Program Facility Records by Street Name
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KETTLEMAN
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301
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2900 - Site Mitigation Program
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PR0508132
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ARCHIVED REPORTS XR0003054
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Last modified
10/10/2018 8:59:34 AM
Creation date
10/9/2018 5:14:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS XR0003054
FileName_PostFix
XR0003054
RECORD_ID
PR0508132
PE
2957
FACILITY_ID
FA0007953
FACILITY_NAME
CHEVRON #9-5775
STREET_NUMBER
301
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04514002
CURRENT_STATUS
01
SITE_LOCATION
301 KETTLEMAN LN
P_DISTRICT
004
QC Status
Approved
Scanner
TMorelli
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EHD - Public
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WIELD SERVICES REQUEST <br />TE INFORMATION FORM I j, Y, �� ,'` ti b �p- ,5 <br />�� <br />grRr' !' t P �� d.,da �R, ,,+, �s� Fys:=^•�> ^w��` <br />Identification <br />Project It 077 43452 550 <br />Station ID 4 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 Compare <br />Client P O C Bob Cochran <br />Date of Request 20 -Feb -2001 <br />Field Tasks General Description <br />Project Type <br />QX Operation & Maintenance <br />Sampling <br />1 st Time Visit <br />Quarterly <br />—1st _2nd —3rd —4th <br />Monthly <br />Semi -Monthly <br />nX Weekly <br />One Time Event <br />Other <br />Field Date Wednesdays at loam <br />A Sample SVE s stem (bag samples) according to the following schedule <br />• <br />w"M "fluent } <br />S U% <br />'- <br />TPHgBTEX/MtBE 2x per Month <br />FID 2x per Month <br />2x per Month <br />2x per Month <br />Takebaq samples on even dated Wednesdays <br />2 Sample GWE system water samplesl according to the following schedule <br />Check Appropriate Cate o <br />0 Budget Site Visa <br />Out of Budget Site Visit <br />Budget Hours 416 <br />Actual Hours T__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, DIPE, TAME, EtBE, ethanol, methanol, 1,2 -DCA, EDB <br />M = Monthty <br />0 = Quarterly, Quarte samples = Jan, April, July, Nov <br />3 Call site engineer before leaving site <br />A:T` <br />Completed By r Date '5; � 1 1,: SECOR <br />Intemet.onN t+oao«aled <br />K'womaw-W Normae r+eaues ads <br />CFO .1 <br />Check Appropriate Cate o <br />0 Budget Site Visa <br />Out of Budget Site Visit <br />Budget Hours 416 <br />Actual Hours T__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, DIPE, TAME, EtBE, ethanol, methanol, 1,2 -DCA, EDB <br />M = Monthty <br />0 = Quarterly, Quarte samples = Jan, April, July, Nov <br />3 Call site engineer before leaving site <br />A:T` <br />Completed By r Date '5; � 1 1,: SECOR <br />Intemet.onN t+oao«aled <br />K'womaw-W Normae r+eaues ads <br />
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