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FIELD SERVICES REQUEST FILE <br /> ��IPITE INFORMATION FORM � "' M <br /> z <br /> Identification Protect Type Check Appropriate Category <br /> Project# 07743448350XO Operation & Maintenance Budget Site Visit <br /> Station ID# Chevron 1001621 ❑ Sampling Out of Budget Site Visit <br /> Site Address 22888 Kasson Road 1st Time Visit <br /> Banta, CA Quarterly Budget Hours 5 <br /> Lab no tab _1st _2nd 3rd 4th Actual Hours <br /> County X❑ Monthly ___ Mob/de Mob <br /> Project Manager Scott Gable Semi-Monthly <br /> Requester Greg McIver 0 Weekly Site Safety Concerns <br /> Client Chevron ❑ One Time Event See HASP <br /> iClient P 0 C ❑ Other Weekly for the first month Wear a safety vest and <br /> ;Date of Request 1123102 Field Date cone working area <br /> Field Tasks General ,Description <br /> 1 Complete ISO-GEN field data sheets <br /> 2)Complete SECOR field Data sheet for MW-24A,25A,26A, 27A,28A,29A,30A,31 A,32A,MW 36UA, MW-37UA,MW-38 UA, <br /> I& MW-39UA,MW-40UA,MW-41UA,MW-42UA,MW-7A, MW-14A, MW-15A,MW-18Aand MW-19A <br /> Insure accurate readings of DO,Temp,Conductance, ORP,ph, DTW, Ferrous Iron, volts and Amps _ <br /> 3) Sample 24A,25A,26A,27A,28A,29A,30A,31 A and 32A for TPHg(8015), BTEX (8260),TPHd(8015),OXY(8260), <br /> Manganese, Sulfate, Nitrate,COD,TOC and total alkalinity Also measure for Ferrous Iron with the kit <br /> Please send a trip blank with samples Bottle requrements is provided by Lancaster In general per well- <br /> 8-hal voas/1-h2so4 voa/1-no preserves voa//// 1-500ml plastic none)/1-500ml plastic(hno3)////2-1000ml amber <br /> (none)////1-120 ml amber(h2so4)////1-1000ml glass round (h2so4)=total of 16 bottles per well <br /> Comments 1 Remarks from Field Staff <br /> ftL A to - E "b FOR FAR _W_5 <br /> - LUFU571,0f5 z_tA5VT_ Twr T4wz r1u 7z'Y <br /> aoK f uRTm 'PokmMams car r ou 25 oZ <br /> EQ USED FOIZ 1 sr DJC`; l M&L9A&_P14JD0 /rt ANNA JvgayHEiuT-5 <br /> NEYT Y ( )5EO _DOWIJ_� 04f HbRafi3A 0-2-2 'A)' _ <br /> Completed By Rh Date Z� a� SECOR <br /> K*10111 11emca Request AS intemationai Incorporated <br />