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i <br /> FIELD SERVICES/O &M REQUEST <br /> I <br /> SITE INFORMATION FORM <br /> v.# <br /> Identification Pro ect Type <br /> Client Don Rodgers <br /> Project# 880-039 1A ❑ 1st Time Visit Client P O C; Don Rodgers <br /> Task# 01010000 ❑ Quarterly Date of Regyest �- <br /> Site Address ' 515W Charter Way [—I1st ❑ 2nd ❑ 3rd El4th Ideal Field Date(s) <br /> Stockton,CA ❑ Monthly Laboratory Sierra Analytical <br /> Station I-O# N/A ❑ Semi-Monthly <br /> Countyy, San Joaquin ® Weekly <br /> Project Manager David Herzog ❑ One Time Event <br /> Requestor ❑ Other <br /> Field Tasks: For General Descn tion <br /> ➢ Site requires weekly visits <br /> ➢ Sample sstem Infl/Efts once a month and submit for GAS/BTEX analysis normal TAT <br /> ➢ Perform routine maintenance <br /> ➢ Complete attached data sheets _ <br /> ➢ <br /> Optimize system performance based upon FID concentrations <br /> ➢ <br /> Sample sstem once a month and submit for GAS/BTEX analysis normal TAT <br /> r ➢ <br /> Notify engineer of any problems <br /> r <br /> 1 <br /> Comments remarks, etc from Field Staff(include problems encountered and out-of-scope work) <br /> r <br /> r <br /> r <br /> Samples taken ❑ Samples not required P —Soil vapor ❑ Groundwater ❑ Air Sparge <br /> Weekly ❑ Semi-Monthly 7--Monthly ❑ Quarterly ❑ Semi-Annual <br /> A2 AP <br /> r Shaw E & I Inc. Completed by Date J , <br /> r <br />