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Y o <br /> FIELD SERVICES 1 O & M REQUEST <br /> .. • .. r f f ry .... .. r t.} rrv.fr {x J r } r s .Jvx}r.} x i c. <br /> -12 <br /> SITE INFORMATION FORM y v = . .`n vrY ,1ryr ;: <br /> ..y{r-r`� � f rsr `fie': ".>` <br /> Identification Project Type Client <br /> Don Rodgers <br /> Protect# 880-039 1A ❑ 1 st Time Visit Client P O C Don Rodgers <br /> Task# 01010000 ❑ Quarterly Date of Request <br /> Site Address 515W Charter Way ❑ 1 st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Stockton CA ❑ Monthly Laboratory Sierra Analytical <br /> Station 104 NIA ❑ Semi-Monthly <br /> County Sari Joaquin _ ® Weekly <br /> Protect Manager David Herzog - ❑ One Time Event <br /> Requestor ❑ Other <br /> Field Tasks. For General Description _ - <br /> ➢ Site requires weekly visits <br /> D Sample system (Infl/Eftl) once a month and submit for GASIBTEX analysis normal TAT <br /> ➢ Perform routine maintenance <br /> ➢ Complete attached data sheets <br /> ➢ Optimize system performance based upon FID concentrations <br /> ➢ Sample system once a month and submit for GAS/BTEX analysis normal TAT _ <br />' ➢ Notify engineer of any problems <br /> Comments, remarks, etc from Field Staff include problems encountered and out-of-scope work <br /> 1 <br /> 1 <br /> ❑ Samples takenSamples not required Sod vapor ❑ Groundwater <br /> ❑ Air Sparge <br /> ❑ Weekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> t -Shaw E & 1-Inc. Completed by Date `-� <br />