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*E INFORMATION FORM <br />Project # <br />Identification <br />077 41991 043 <br />FIELD SERVICES REQUEST <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 Bob Cochran <br />Date of Request 15 -Dec -2000 <br />Field Tasks General Description <br />Project Type <br />Z Operation & Maintenance <br />Sampling <br />F] 1 st Time Visit <br />❑ Quarterly <br />1st ` 2nd _ 3rd _ 4th <br />R Monthly <br />Semi -Monthly <br />Weekly <br />One Time Event <br />n Other <br />Field Date Wednesdays at 10 am <br />Check Appropriate Categoryf <br />0 Budget Site Visit <br />F] Out of Budget Site Visit <br />Budget Hours <br />416 <br />Actual Hours �6 , G) <br />Mob/de Mob 2 <br />Site Safety Concerns <br />See Health and Safety Plan <br />11 Sample SVE system (bag samples) according to the following schedule _ <br />• <br />Take bag samples on even dated Wednesdays <br />2 Sample GWE system ftater samples) according to the follownng schedule <br />a"zGW-Influent <br />SVE Influent <br />SVE Effluent <br />TPHglBTEXIMtBE <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 Sample GWE system ftater samples) according to the follownng schedule <br />a"zGW-Influent <br />N` <br />Mid -1 <br />Mid-u2.' <br />`GWE,Effluent , <br />ITPHg/BTfX/8260 Weekl <br />Week) <br />WeeklyWeekly <br />Ana samples by 8260 for oxygenates TBA, MtBE. DIPS, TAME, ETRE, ethanol, methanol, 1,2 -DCA, EDB <br />M = Monthly <br />Q = Quarterly, Quarterly samples = Jan, April, July, Nov <br />3 Call site engineer before leaving site <br />Completed By { Date <br />K *om>51Frtld Semce Newest 4s <br />l- 2- /ze)/� <br />SECOR <br />iniernaLonai incorporated <br />