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FIELD SERVICES REQUEST <br /> SITE INFORMATION FORM <br /> Identification Proiect Type Check Appropriate Cate o <br /> Project# 77CH 91452 03 0350 ❑ Operation& Maintenance ❑x Budget Site Visit <br /> Station ID# Chevron 91452 Ej Sampling ❑ Out of Budget Site Visit <br /> Site Address 334 East Main Street ❑ 1 st Time Visit <br /> RWn, CA E] Quarterly Budget Hours 8 <br /> Lab Lancaster _ast _2nd _3rd 4th Actual Hours 17-5- <br /> County <br /> Z. -County San Joagurn _ Fx Monthly Mob/de Mob 2 <br /> Project Manager David Evans ❑ semi-monthly <br /> Requester Karam Parmar ❑ Bi-Weekly Site Safety Concerns <br /> Client Chevron EMC One Time Event See Health and Safely Plan <br /> Client P 0 C Bob Cochran Other <br /> Date of Request 4-Dec-2003 Field Date <br /> Pre Field Activities <br /> 1 Load necessary tools and sampling equipment on truck <br /> Field Tasks General Descri tion <br /> 1 Contact site engineer upon arrival David Evans, ext 234 or Karam Parmar ext 286 <br /> 2 Review Health and Safety Plan HASP <br /> . 3 You will be supervising IWM as they extract water from MW-8 (Approximately 6,000gallons) <br /> IWM will be using a submersible pump to extract the water <br /> They will supply their own pump and generator <br /> 4 Check in with Station Manager <br /> 4 Set up Vac truck so it does not interfere or interferes as little aspossible) with the business <br /> 6 Prior to beginning extraction, collect manual water level measurements on MW-1, MW-2, MW-3, <br /> MW-4, MW-5D, MW-5S, MW-6D, MW-6S, MW-7D, and MW-8 <br /> Record water level measurements in the attached table Note initial totalizer reading <br /> 7) Collect groundwater sample from MW-8 (no purge) <br /> 8 Instruct IWM to begin extracting water Vac truck can handle approximately 6,000 gallons <br /> 9 Collect manual measurements on above wells hour) (except MW-8 <br /> 10 When Vac truck is full, collect sample from MW-8 with the bailer Note final totalizer reading <br /> 11 Contact site engineer prior to leaving <br /> 12 Complete sample chain-of-custody time <br /> 13) Return samples to office and place in refrigerator _ <br /> 14) Place sample chain and field notes on Karam Parmar's desk <br /> She will prepare samples for shipping <br /> Comments 1 Remarks from Field Staff <br /> r�1, �u s��.- a .� w�// /'►'14t/.�S /��-t,o v�` v 1� _x., o�a/` <br /> t�r>' U g,,',7 yr u <br /> Completed By Date- SECORnal <br /> tntematlp1nCdfp mea <br /> K WOMMFteld Service RegWSI be <br /> 1 <br />