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FIELD SERVICES RE, <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 />UEST <br />Project Type <br />�X Operation & Maintenance <br />❑ Sampling <br />n 1st Time Visit <br />F] Quarterly <br />—1st —2nd 3rd 4th <br />0 Monthly <br />F] Semi -Monthly <br />0 Weekly <br />F1 One Time Event <br />n Other: <br />Field Date: Wednesdays at i0 am <br />Field Tasks General Descri tion <br />Sample SVE system (bag samples) according to the following schedule <br />0 <br />Take bag samples on even dated Wednesdays <br />2 Sample GWE system (water samples) according to the following schedule <br />SVE lhfiuent4w <br />�� SVE,Ef#luent <br />TPHg/BTEX/Mtl3E <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 Category <br />❑X Budget Site Visit <br />Out of Budget Site Visit <br />Budget Hours: 2/4 <br />Actual Hours: /. <br />Mob/de Mob: 2 <br />Site Safety Concerns <br />See Health and Safety Plan <br />Analyze samples by 8260 for oxygenates TBA, MtBE, DIPE, TAME, ETBE, ethanol, methanol, 1,2 -DCA, EDB <br />M = Monthly <br />Q = Quarterly, Quarterly samples = Jan, April, July, Nov. <br />3 Call site en !neer before leaving site. <br />wes <br />C J <br />qw <br />Completed By. Date: Jl / y Qr �SECOR <br />K'V'q(fnSwiew Service magUeSlAS <br />------------- <br />�, <br />1111 <br />2. *: Y��E.: est <br />c <br />n(f <br />... . 11 ...OM <br />-. NIL, - <br />. i i - <br />PTPHg/BTEX/8260 <br />WeeklyWeeklyWeek! <br />Weekly <br />Check Appropriate Category <br />❑X Budget Site Visit <br />Out of Budget Site Visit <br />Budget Hours: 2/4 <br />Actual Hours: /. <br />Mob/de Mob: 2 <br />Site Safety Concerns <br />See Health and Safety Plan <br />Analyze samples by 8260 for oxygenates TBA, MtBE, DIPE, TAME, ETBE, ethanol, methanol, 1,2 -DCA, EDB <br />M = Monthly <br />Q = Quarterly, Quarterly samples = Jan, April, July, Nov. <br />3 Call site en !neer before leaving site. <br />wes <br />C J <br />qw <br />Completed By. Date: Jl / y Qr �SECOR <br />K'V'q(fnSwiew Service magUeSlAS <br />