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FIELD SERVICES REOUEST <br />INFORMATION FORM <br />Identification <br />Protect # 077 43452 550 <br />Station ID # Chevron 95775 <br />Site Address 301 West Kettleman Lane <br />Lodi, CA <br />Lab Kiff Analytical <br />County San Joaquin <br />Protect 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 />❑X Operation & Maintenance <br />Sampling <br />1 st Time Visit <br />Quarterly <br />—1st _2nd _3rd —4th <br />Monthly <br />Semi -Monthly <br />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 />• <br />µR, <br />SVE l4dent <br />SVE,Effluent <br />TPHgIBTEXIMtBE <br />FID <br />2x per Month <br />2x per Month <br />2x per Month <br />2x per Month <br />Check Appropriate Category <br />[X Budget Site Visit <br />❑ Out of Budget Site Vi,>it <br />Budget Hours <br />4/6 <br />Actual Hours <br /><!�� <br />Mob/de Mob <br />2 <br />Site Safety <br />Concerns <br />See Health and Safety Plan <br />Take bag samples on even dated Wednesdays r <br />2) Sample GWE system (water samples) according to the following schedule <br />'yGYx in! ent° <br />C�-' .I s=�d-2� }_� -` �'—'G �t,Effluent <br />TPHgBTEX/8260 Weekl <br />WeeklyWeek] Weekly <br />Analyze samples by 8260 for oxygenates TBA, WE, DIPE, TAME, EWE, ethanol, methanol, 1,2 -DCA, EDB <br />M = Monthly <br />Q = Quarterly, Quarterly samples = Jan, Apnl July Nov _ <br />3) Call sde engineer before leaving site <br />Comments ! Remarks from Field Staff <br />Completed By � rte/ Date �,T/© 40 <br />K-Wamw*.00 SerV -e Bequest 105 <br />SECOR <br />in�w"I t� <br />