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FIELD SERVICES REQUEST <br />INFORMATION FORM ,,t .. A <br />Identification <br />Project #: 077.43452.550 <br />Station I D #: 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 -2007 <br />Prosect Type <br />❑X Operation & Maintenance <br />El Sampling <br />❑ 1 st Time Visit <br />F1 Quarterly <br />—1st —2nd 3rd 4th <br />Monthly <br />Semi -Monthly <br />Q Weekly <br />❑ One Time Event <br />n Other: <br />Field Date: Wednesdays at 10 am <br />Field Tasks General Description <br />1 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 />.,�i� a � � sir <br />SVE�Infiiient �:1 $VE Effluent,�� , <br />TPHg/BTEX1MtBE <br />2x per Month 2x per Month <br />FID <br />2x per Month 2x per Month <br />Take bag samples on even dated Wednesdays <br />2 Sample GWE system (water samples) according to the following schedule <br />.,�i� a � � sir <br />� � � � �• v r� z <br />r e ', �.�; �j:' ..� i r <br />^. <br />Check Appropriate Category <br />�X Budget Site Visit <br />Out of Budget Site Visit <br />Budget Hours: 2.14 <br />i <br />Actual Hours: 6; S <br />Mob/de Mob: .Z <br />Site Safety Concerns <br />See Health and Safety Plan <br />Analyze samples by 8260 for oxygenates TBA, MOE, DtPE, TAME, ETRE, ethanol, methanol, 1,2 -DCA, EDB <br />M = Monthly <br />0 = Quarterly, Quarterly samples = Jan, April, July, Nov. <br />3 Call site engineer before leaving site. <br />Completed By:Date: SECOR <br />International k,owporated <br />K,*0rAuv.,ei0 "IGMCe rtequesl.X's <br />