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FIELD SERVICES REQUEST <br />qW INFORMATION FORM <br />Identification <br />Project # 077 41991 043 <br />Station ID # Chevron 9-5775 <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 Evans <br />Client Chevron Products Company <br />Client P O C <br />Bob Cochran <br />Date of Request 27 -Nov -2000 <br />Project Type <br />❑X Operation & Maintenance <br />El Sampling <br />I st Time Visit <br />Quarterly <br />1st _ 2nd 3rd 4th <br />Monthly <br />F] Semi -Monthly <br />FXJ Weekly <br />F] One Time Event <br />Other <br />Field Date Wednesdays at 10 am <br />Field Tasks General Descrl tion <br />1 Sample SVE system (bag samples) according to the following schedule <br />SVE Influent SVE Effluent <br />TPHg/BTEXIMtBE 2x per Month 2x per Month <br />FID 2x per Month 2x per Month <br />Take bag samples on even dated Wednesdays <br />2 le GWE s tem (water samples) woording to the followin schedule <br />-F_ �Y, `: �► .,:�„ uir-1�A�d}': $ �GWE Effluent " <br />LYA <br />Check Appropriate Category <br />❑X Budget Site Visit <br />F] Out of Budget Site Visit <br />Budget Hours 214 <br />Actual Hours <br />Mob/de Mob 2 <br />Site Safety Concerns <br />See Health and Safety Plan <br />Analyze samples by 8250 for oxygenates TBA, MtBE, DIPE, TAME, ETBE, ethanol, methanol, 1,2 -DCA, EDB <br />M=Mo <br />Q = Quarte , Ouarterty samples = Jan, April, July, Nov <br />$ Call site engineer before leaving sde <br />P y �— _/__ e ao SECOR <br />Completed B ���— ht�t<ww hicocpoWed <br />II.Y'OrtAfW+MG bery d H0quem a$ <br />