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FIELD SERVICES REQUEST <br /> SITE INFORMATION FORM <br /> r <br /> Identification Prolect Type Check Appropriate Cate o <br /> Project# 77CH91452.03 0350 Operation& Maintenance Q Budget Site Visit <br /> Station ID# Chevron 91452 Sampling Out of Budget Site Visit <br /> Site Address 334 East Main Street 1 st Time Visit <br /> Ri on, CA Quarterly Budget Hours 8 <br /> Lab Lancaster _151: _2nd _3rd _4th Actual Hours //,_5; <br /> County San Joaquin Rx 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 5afety Plan <br /> Client P O C Bob Cochran Other <br /> Date of Request 18-Nov-2003 Field Date j f / a �- <br /> Pre Field Activities <br /> 1 Load necessary tools and sampling equipment on truck <br /> Field Tasks General Description <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 6,000 gallons) <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 as possible) 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 /> (0c Cz1 <br /> C� <br /> Completed Byj�c�-rs d Date: /f !S �� 5ECOR <br /> Intemato"Incaryorated <br /> K%F WMWie1d SeNICe Request)dS <br />