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JOB NAME: Former Tosco Bulk Terminal 10013 JOB NUMBER: 211402809 200.1250 <br /> SITE ADDRESS: 3505 Navy Drive START DATE: 4y4lP6 Ff3 Fij—q_t <br /> Stockton,CA DATE PREPARED: 4/12010 <br /> PREPARED FOR: RiepaW MSA,, i- t,, PREPARED BY: Wesley Snyder <br /> WORK REQUEST FORM <br /> SCOPE OF WORK: Oxygen Injection <br /> 1) Sign in at the Nustar Energy Facility(2941 Navy Drive Stockton) Check-in with Terminal Representetfve <br /> Work wan terminal representative in filling out the days work ill and on getting access to the site <br /> Required PPE includes Nomex coveralls hard hat and safety glasses at all times <br /> Arrive at site-Review(1) HASP (2)work order,then call Ed 384-0773 or Sean 916-281-8975 <br /> 2) Collect Pre-injection DO and Initial DTW Readings (See DTW& DO FORM) <br /> 3) Based on Instruction from Ed or Sean follow the days plan for which wells <br /> (IP-10 IP-11, IP-14 IP-15 IP-16 IP-17 MW-221 to inject into <br /> Inject into two wells simultaneously at a maximum Each well needs two 150 cf cylinders to be injected <br /> (Cannot currently inject into IP-12 and P-6 due to access issues) <br /> 4) During injections record time 02/LEL DTW induced pressure in designated observation wells <br /> (See Observation Field Data Sheet) <br /> 5) Collect Post injection DO readings <br /> 6 Call Ed or Sean before you leave the site. <br /> Fill Out CPEquipment Billing Sheet for all equipment used on the job. <br /> Turn in field notes ASAP <br /> Bill labor and Air Gas charge to 211402809 200.1250 <br /> Site Health 8 Safety Plan located onsite <br /> D.O. Meter; LEU02 meter <br /> 02 canisters, hosing, regulators <br /> 12", 9/16', and 15/16"sockets, and other misc.tools <br /> traffic control delineators <br /> GENE_ ,,,L INFORMATION <br /> Direct questions to Sean Coyle office: (916) 384-0740 cell (916)281-8975/Simonis office: (916)384-0773 <br /> PROJECT MANAGER Sean Coyle AUTHORIZATION <br />