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FIELD SERVICES REQUEST <br />E 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 Bob Cochran <br />Date of Request 27 -Nov -2000 <br />Field Tasks General Description <br />Pro ect Type <br />�X Operation & Maintenance <br />Sampling <br />❑ 1 st Time Visit <br />❑ ouarierly <br />_ 1 St _ 211d _ 3rd 4th <br />❑ Monthly <br />F] Semi -Monthly <br />QX Weekly <br />One Time Event <br />❑ Other <br />Field Date Wednesdays at 10 am <br />Check Appropriate Category <br />Q Budget Site Visit <br />❑ Out of Budget Site Visit <br />Budget Hours <br />214 <br />Actual Hours <br />6", <br />Mob/de Mob <br />2 <br />Site Safety <br />Concerns <br />See Health and Safety Plan <br />Weekly <br />Weekly <br />1) Sample SVE system (bag samples) according to the following schedule <br />40 <br />Take bag samples on even dated Wednesdays _ <br />2)_Sampte GWE system (water samples) according to the following schedule <br />SVE lnfluerit- s <br />SVE Effluent <br />TPHg/BTE7UMtBE <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)_Sampte GWE system (water samples) according to the following schedule <br />Analyze samples by 8260 for oxygenates TBA, MtBE, DIPE, TAME, ETRE, ethanol, methanol, 12 -DCA, EDB <br />M = Monthly <br />Q = Ouartedy, Guarterly samples = Jan, April, July, Nov <br />3) Call site engineer before leaving site <br />Completed By <br />a,tom.c,r�.w aerate neQues as <br />Date <br />SECOR <br />trne(nownel incorporated <br />s <br />fliltBtit�' <br />a�'«Mrd-21 <br />- <br />G11VE?Efflue t`'` <br />ITPHgtBTEX/82t�0 <br />Weekl <br />Weekly <br />Weekly <br />Weekly <br />Analyze samples by 8260 for oxygenates TBA, MtBE, DIPE, TAME, ETRE, ethanol, methanol, 12 -DCA, EDB <br />M = Monthly <br />Q = Ouartedy, Guarterly samples = Jan, April, July, Nov <br />3) Call site engineer before leaving site <br />Completed By <br />a,tom.c,r�.w aerate neQues as <br />Date <br />SECOR <br />trne(nownel incorporated <br />