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ARCHIVED REPORTS XR0012481
Environmental Health - Public
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16470
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3500 - Local Oversight Program
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PR0544155
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ARCHIVED REPORTS XR0012481
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Last modified
2/15/2019 6:17:47 PM
Creation date
2/15/2019 2:33:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012481
RECORD_ID
PR0544155
PE
3526
FACILITY_ID
FA0000185
FACILITY_NAME
CITY GAS & LIQUOR
STREET_NUMBER
16470
STREET_NAME
CAMBRIDGE
STREET_TYPE
ST
City
LATHROP
Zip
95330
APN
19643032
CURRENT_STATUS
02
SITE_LOCATION
16470 CAMBRIDGE ST
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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FIELD SERVICES REQUEST <br /> 4 ENFORMATION FORM <br /> Identification Proiect Type Check Appropriate Category <br /> Project # 770H 43452 00 0550 ❑X Operation &Maintenance Q Budget Site Visit <br /> Station ID# Chevron 9-5775 El Sampling Out of Budget Site Visit <br /> Site Address 301 West Kettleman Lane ❑ 1 st Time Visit <br /> Lodi, CA Ej Quarterly Budget Hours 214 <br /> Lab Lancaster Laboratories _1st _2nd 3rd 4th Actual Hours <br /> County San Joaquin Monthly T Mob/de Mob 2 <br /> Project Manager Ron Hoffmore Semi-Monthly <br /> Requester Bob Jackson QX Weekly Site Safety Concerns <br /> Client Chevron Products Company One Time Event See Health and Safety Plan <br /> Client P O C Bob Cochran F] Other <br /> Date of Request 22-Mar 2o02 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 /> TPHg/BTEX/MtBE 2x per Month 2x per Month <br /> FID 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 /> TPN BTEX/8260 Weekly WgWeekly 7"iekl <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 engineer before leaving site _ <br /> Comments / Remarks from Field Staff <br /> Completed By. ls';I�Ibeell Date �� SECOR <br /> International hoorporated <br /> K 1Fotnts4MBld Sere"Howe%Ids <br />
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