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r <br />TE INFORMATION FORM <br />identification <br />Project #: 077.43452.550 <br />Station ID #: Chevron 9-5775 <br />FIELD SERVICES REQUEST <br />t <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 />Project Type <br />FX Operation & Maintenance <br />Sampling <br />1st 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 />Field Tasks General Descri tion <br />1) Sample SVE system (bag samples) according to the following schedule <br />• <br />Take bag samples on even dated Wednesdays <br />2 Sample GWE system (water samples) according to the following schedule <br />SVEiififi4�ent .,, <br />,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 Catego� <br />QX Budget Site Visit ^ <br />Ej Out of Budget Site Visit <br />Budget Hours: <br />2/4 <br />Actual Hours: C. e7 <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, EfBE, ethanol, methanol, 1,2 -DCA, EDB <br />M = Monthly <br />Q = Quarterly, Quarterly samples = Jan, April, July, Nov. <br />3 Call site engineer before leaving site. <br />Date: /Z o SECOR <br />Completed By: . ,n,eR,�,ona�,nooraoraeea <br />K,wofn4w0wo service Mequest.,as <br />„�jE.erttTPH <br />B <br />!'�M <br />Weekl <br />Week! <br />Weekl <br />Weekl <br />Check Appropriate Catego� <br />QX Budget Site Visit ^ <br />Ej Out of Budget Site Visit <br />Budget Hours: <br />2/4 <br />Actual Hours: C. e7 <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, EfBE, ethanol, methanol, 1,2 -DCA, EDB <br />M = Monthly <br />Q = Quarterly, Quarterly samples = Jan, April, July, Nov. <br />3 Call site engineer before leaving site. <br />Date: /Z o SECOR <br />Completed By: . ,n,eR,�,ona�,nooraoraeea <br />K,wofn4w0wo service Mequest.,as <br />