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I <br /> FIELD SERVICES REQUEST <br /> TE INFORMATION FORM <br /> Identification Pro ect Type Check Appropriate category <br /> Project # 077 43452 550 Operation & maintenanceX❑ Budget Site Visit <br /> Station ID # Chevron 9-5775 F-I Sampling ❑ Out of Budget Site Visit <br /> Site Address 301 West Kettleman Lane 1 st Time Visit <br /> Lodi, CA F] Quarterly Budget Hours 214 <br /> Lab Lancaster Laboratories _1st —2nd _3rd —4th Actual Hours (::L d <br /> County San Joaquin Monthly Mob/de Mob 2 <br /> Project Manager Ron Chinn Semi-Monthly <br /> Requester Greg McIver Weekly Site Safety Concerns <br /> Client Chevron Products Company One Time Event See Health and Safety Plan <br /> Client P O C Sob Cochran E] Other <br /> Date of Request 23-Aug-2001 Field Date Wednesdays at 10 am <br /> Field Tasks General Descrt tion <br /> 1)Sample SVE system (bag samples)according to the following schedule <br /> SU,EInfl�eit;x,F fps.,� EffWi~0#° r� <br /> 10 TPHg113TEXIMtBE 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 /> TPH TEXt8260 Weeki WeeklyWeekl Weekly <br /> Analyze samples by 8260 for oxygenates TBA,MtBE,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 /> Comments 1 Remarks from Field Staff <br /> Completed Byc�� Date: S, <br /> InlemaL <br /> K 1-0rMSV mN0 lerviCe HequeSt M <br />