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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 h.O.C: Bob Cochran <br />Date of Request: 23 -Aug -2001 <br />Project Type <br />0 Operation & Maintenance <br />Sampling <br />F] 1 st Time Visit <br />❑ Quarterly <br />—1st —2nd 3rd 4th <br />Monthly <br />Semi -Monthly <br />Weekly <br />One Time Event <br />F] Other: <br />Field Date: Wednesdays at 10 am <br />Field Tasks General Descri tion <br />Sample SVE system (bag samples) according to the following schedule <br />Take bag samples on even dated Wednesdays <br />2 Sample GWE system (water samples) according to the following schedule <br />♦"F , _ i 5 � sir' ..". }. k , k:.� <br />S11Efilnfluent� �.;� <br />S1/E;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 />♦"F , _ i 5 � sir' ..". }. k , k:.� <br />.r.y' <br />SSI • Vit. "4 x:'iFj" <br />,,o+. • <br />Y ,t � 4 <br />Check Appropriate Category <br />0 Budget Site Visit <br />Out of Budget Site Visit <br />Budget Hours: 2/4 <br />Actual Hours: �Sl< <br />Mob/de Mob: 2 <br />Site Safety Concerns <br />See Health and Safety Plan <br />Analyze samples by 8260 for oxygenates TBA, MOE, DIPS, TAME, ETBE, 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 />Completed By: 7�".�i`--r Date: a / SECOR <br />International Incorporated <br />N wortns�',sto ziamce hequest_%t5 <br />