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FIELD SERVICES REQUEST <br />INFORMATION FORM <br />Identification <br />Project #: 077.43452.550 <br />Station ID #: Chevron 9-5775 <br />Site Address: 301 West Kettleman Lane <br />Lodi, CA <br />Lab: Lancaster Laboratories <br />County: San Joaquin <br />Project Manager: Ron Chinn <br />Requester: Greg McIver <br />Client: Chevron products Company <br />Client P.O.C: Bob Cochran <br />Date of Request: 23 -Aug -2001 <br />Field Tasks General Description <br />Proiect Type <br />Q Operation & Maintenance <br />Sampling <br />1 st Time Visit <br />El Quarterly <br />—1st _2nd —3rd ^4th <br />F] 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 />is <br />Take bag samples on even dated Wednesdays <br />2) Sample GWE system (water samples) according to the following schedule <br />V.E.influent; a '; <br />T SVE Effluent . <br />TPHg/BTEX/MtBE <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 />Check Appropriate Cate or <br />❑x Budget Site Visit <br />❑ Out of Budget Site Visit <br />Budget Hours: 2/4 <br />Actual Hours: 6j, -� s <br />Mob/de Mob: 2 <br />Site Safety Concerns <br />See Health and Safety Pian <br />Analyze samples by 8250 for oxygenates TBA, MtSE, DIPS, TAME, ETBE, ethanol, methanol, 1,2 -DCA, EDB <br />M = Monthly <br />_Q = Quarterly, Ouarterly samples = Jan April, July, Nov. _ <br />3) Call site engineer before leaving site. <br />z <br />c <br />r <br />Completed By: �� Date: %d��—f �1 SECOR <br />Intemationai Incorpolaled <br />,l WorinSw%00 aeNice hequest.xts <br />TPH TEX/8260.Weekl <br />"�eeklWeekly <br />Weekl <br />Check Appropriate Cate or <br />❑x Budget Site Visit <br />❑ Out of Budget Site Visit <br />Budget Hours: 2/4 <br />Actual Hours: 6j, -� s <br />Mob/de Mob: 2 <br />Site Safety Concerns <br />See Health and Safety Pian <br />Analyze samples by 8250 for oxygenates TBA, MtSE, DIPS, TAME, ETBE, ethanol, methanol, 1,2 -DCA, EDB <br />M = Monthly <br />_Q = Quarterly, Ouarterly samples = Jan April, July, Nov. _ <br />3) Call site engineer before leaving site. <br />z <br />c <br />r <br />Completed By: �� Date: %d��—f �1 SECOR <br />Intemationai Incorpolaled <br />,l WorinSw%00 aeNice hequest.xts <br />