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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
Scanner
WNg
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EHD - Public
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FIELD SERVICES REQUEST <br /> TE INFORMATION FORM <br /> n ray <br /> Identification Project Type Check Appropriate Category <br /> Project # 07743452550 FX Operation & Maintenance ❑x Budget Site Visit <br /> Station ID # Chevron 9-5775 n Sampling ❑ Out of Budget Site Visit <br /> Site Address 301 West Kettleman Lane r] 1 st Time Visit <br /> Lodi, CA n Quarterly Budget Hours 214 <br /> Lab Lancaster Laboratories _15t —2nd —3rd —4th Actual Hours <br /> County San Joaquin [, Monthly Mob/de Mob 2 <br /> Project Manager Ron Chrnn [] Semi-Monthly <br /> Requester Greg McIver rx Weekly Site Safety Concerns <br /> Client Chevron Products Company ❑ One Time Event See Health and Safety Plan <br /> Client P O C Bob Cochran F1 Other <br /> Date of Request 23-Aug-2001 Field Date Wednesdays at 10 am <br /> Field Tasks General Description <br /> 1)Sample SVE system(bag samples) according to the following schedule <br /> * r.,SVE710fllient �°{ r.�aS�IE Effluetii� >.=sic <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 /> A <br /> TPH !)(J B1) WeeklyWeeks WeeklyWeekly <br /> Analyze samples by 8260 for oxygenates TBA, MtBE, DIPS,TAME,ETBE,ethanol, methanol, 1,2-DCA, EDB <br /> M=Months <br /> Q=Quarterly,Quarterly samples=Jan,April,July,Nov <br /> 3 Call site en sneer before leaving site <br /> Comments/Remarks from Field Staff <br /> Completed By 5���� _ Date f !may SECOR <br /> Intamatwnal Incorporated <br /> K wormsrr,aia aerw,cs nequev jas <br />
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