Laserfiche WebLink
FIELD SERVICES REQUEST <br />INFORMATION FORM R <br />Project # <br />Identification <br />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 Bob Cochran <br />Date of Request 27 -Nov -2000 <br />Field Tasks General Description <br />Project Type <br />QOperation & Maintenance <br />F] Sampling <br />F] 1 st Time Visit <br />❑ Quarterly <br />_ 1st 2nd 3rd 4th <br />Monthly <br />❑ Semi -Monthly <br />FXJ Weekly <br />One Time Event <br />Other <br />Field Date Wednesdays at 10 am <br />1 Sample SVE system (bag samples) according to the following schedule <br />4 <br />Take bag samples on even dated Wednesdays <br />2 le GWE syWem water samples) aocording to the following schedule <br />:,c `ai r .� <br />SVE Influent <br />SVE Effluent <br />HgIBTEXIMtBE <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 syWem water samples) aocording to the following schedule <br />:,c `ai r .� <br />F�flf nfluent; <br />Mid -7 . 'Mid -2 <br />GWE Effluent'.,, <br />TEX/mo <br />weekly <br />I weekly Weekly <br />_Weekly <br />Check Appropriate Category <br />❑X Budget Site Visit <br />Out of Budget Site Visit <br />Budget Hours 2/4 <br />Actual Hours e4 C-) <br />Mob/de Mob 2 <br />Site Safety Concerns <br />See Health and Safety Plan <br />samples by 8M for oxygenates TBA, MtBE, DIPS, TAME, ETBE, ethanol, methanol, 12 -DCA, EDB <br />M = Month <br />Q = Quarterly, Quarterly samples = Jan, April, July, Nov <br />31 Call site enalneer before leaving site <br />Comments 1 Remarks from Field Staff <br />Completed By <br />I K Ploquev xn <br />Date 7/<!D0 <br />SECOR <br />intemwww woorp(.aXed <br />