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ARCHIVED REPORTS XR0003070
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 XR0003070
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Entry Properties
Last modified
10/10/2018 10:19:23 AM
Creation date
10/10/2018 8:51:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS XR0003070
FileName_PostFix
XR0003070
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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_1 <br />FIELD SERVICES REQUEST <br />�TE INFORMATION FORM <br />Identification <br />Protect # 077 49991 043 <br />Station ID # Chevron 9-5775 <br />Site Address 309 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 22 -Jan -2001 <br />Field Tasks General Description <br />Prosect Type <br />❑x Operation & Maintenance <br />Sampling <br />F] 1 st Time Visit <br />❑ Quarterly <br />_1st _2nd _3rd 4th <br />Monthly <br />Semi -Monthly <br />❑X Weekly <br />One Time Event <br />❑ Other <br />Field Date Wednesdays at 90 am <br />Check Appropriate Cate o <br />❑X Budget Site Visit <br />❑ Out of Budget Site Visit <br />Budget Hours 416 <br />Actual Hours J15w %y <br />Mob/de Mob 2 <br />Site Safety Concerns <br />See Health and Safety Plan <br />1) Sample SVE system (bag samples) according to the following schedule T <br />• <br />',� s a.ti,3*4~".L➢'�. <br />�lliuSG <br />Y .!• ` <br />'p <br />,^`__"•`+;,• <br />} <br />`°'�d.,�••Ye'Jf <br />- <br />TPHg/BTEXIMtBE <br />2x per Month <br />2x per Month <br />FID <br />2x per Month <br />2x per Month <br />Take bag samples on even dated Wednesdays <br />2) Sample GWE system (water samples) according to the following schedule <br />k { 4 , FidiW'd <br />i,;f' yt - r•. <br />11j <br />Y .!• ` <br />'p <br />,^`__"•`+;,• <br />} <br />i •1 <br />- <br />Analyze samples by 8260 for oxygenates TBA, MtBE, DIPS, TAME, ETBE, ethanol, methanol, 1,2 -DCA, EDB <br />M = Monthly <br />Q = Quarters , Quartedy samples = Jan, April, July, Nov <br />3) Cali site engineer before leaving site <br />Completed By <br />K WormsWield beNGC KCQueSt AS <br />Date d l <br />SECOR <br />Int ema Donal lncofp0Mte6 <br />
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