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FIELD SERVICES REQUEST <br />SITE 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 <br />David Evans <br />Client Chevron Products Company <br />Client P O C Bob Cochran <br />Date of Request <br />22 -Jan -2001 <br />Field Tasks General Description <br />Prosect Type <br />QX 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 10 am <br />1 ) Sample SVE system (bag samples) according to the following schedule <br />Take bag samples on even dated Wednesdays <br />2 Sample GW E system (water samples) according to the following schedule <br />� GW hflueK <br />i`�° i` � �c t'� <br />kn Mid <br />TPHg/BTEXIMtBE <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 GW E system (water samples) according to the following schedule <br />Check Appropriate Cateqor <br />�X Budget Site Visit <br />Out of Budget Site Visit <br />Budget Hours 416 <br />Actual Hours I' <br />Mob/de Mob 2 <br />Site Safety Concerns <br />See Health and Safety Alan <br />Analyze samples by 8260 for oxygenates TSA, MtBE, DIPE, TAME, ETBE, ethanol, methanol, 1,2 -DCA, EDB <br />M = Monthly <br />Q = Quartedl , Quartedy samples = Jan, April, July, Nov <br />3 Call site engineer before leaving site <br />Comments 1 rRemarks from Field Staff L s 1 g - <br />.nrd <br />Completed By I " G—C, r <br />K 1Forrns%t e10 Seance Hequesl its <br />Date lejzU_1 <br />SECOR <br />I mein a h onaI Incorpora led <br />� GW hflueK <br />i`�° i` � �c t'� <br />kn Mid <br />3i`r��,. N.� e.>➢^�t�r' <br />� t sol "' � a,.." <br />GWE,Effluent <br />ITPHg/BTEX/8260 <br />I Weekly <br />I Weekly <br />Weekl <br />Weeks <br />Check Appropriate Cateqor <br />�X Budget Site Visit <br />Out of Budget Site Visit <br />Budget Hours 416 <br />Actual Hours I' <br />Mob/de Mob 2 <br />Site Safety Concerns <br />See Health and Safety Alan <br />Analyze samples by 8260 for oxygenates TSA, MtBE, DIPE, TAME, ETBE, ethanol, methanol, 1,2 -DCA, EDB <br />M = Monthly <br />Q = Quartedl , Quartedy samples = Jan, April, July, Nov <br />3 Call site engineer before leaving site <br />Comments 1 rRemarks from Field Staff L s 1 g - <br />.nrd <br />Completed By I " G—C, r <br />K 1Forrns%t e10 Seance Hequesl its <br />Date lejzU_1 <br />SECOR <br />I mein a h onaI Incorpora led <br />