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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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2900 - Site Mitigation Program
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PR0508132
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ARCHIVED REPORTS XR0003070
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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
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TMorelli
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EHD - Public
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FIELD SERVICES REQUEST <br />ITE INFORMATION FORM <br />Identification <br />Protect # 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 Typo <br />QX Operation & Maintenance <br />Sampling <br />1 st Time Visit <br />❑ Quarterly <br />_1st _2nd —3rd _4th <br />❑ Monthly <br />F] Semi -Monthly <br />nX Weekly <br />One Time Event <br />Other <br />Field Date Wednesdays at 10 am <br />I <br />Check Appropriate Cateao <br />❑X Budget Site Visit <br />Out of Budget Site Visit <br />Budget Hours 214 <br />Actual Hours U <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 _ <br />• <br />- ;`-max - <br />r SVEinfttien` t :yJ <br />jAS1fEtEfffuent ; <br />TPHg1BTEX/MtBE <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 (water samples) aocording to the following schedule <br />Analyze samples by 8260 for oxygenates TBA, ME, DIPE, TAME, ETRE, ethanol, methanol, 1,2 -DCA, EDB <br />M =Monthly _ <br />Q = Quarter) , Quarterly samples = Jan, April, July, Nov <br />3 Call sne engineer before leaving site <br />�rmo� 0 <br />V. <br />F i-77, r/ v=�� <br />Completed By. ���� _% Date---, f SECQR <br />Vntematwnal incorporated <br />K worry W oM Sennce Hequ" oa <br />
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