Laserfiche WebLink
IFIELD SERVICES 1 O& M REQUEST <br /> • SITE INFORMATION FORM vtv£t <br /> ldentifcation Project Type <br /> Client Don Rodgers_ <br /> Project# 880-039 1A ❑ 1st Time Visit Client P O C Don Rodgers <br /> Task# 01020000 ❑ Quarterly Date of Request <br /> Site Address- _516W. Charter Way ❑ 1st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Stockton,CA ❑ Monthly Laboratory Sierra Analytical <br /> Statfon#.D# N/A ❑ Semi-Monthly <br /> iCounty, _San Joaquin _ ® Weekly <br /> Protect Manager David Herzog ❑ One Time Event <br />' Requestor ❑ Other <br />' Field Tasks. For General Descri tion <br /> ➢ Site requires weekly visits - <br />' ➢ Sample sstem InfllEffl once a month and submit for GAS/BTEX analysis normal TAT <br /> ➢ Perform routine maintenance <br /> ➢ Complete attached-data sheets <br /> upon FID concentrations <br /> _ ➢ Optimize system en`ormance based <br /> I ➢ Sample item once a month and submit for GASIBTEX analysis no y , rural TAT <br /> ➢ Notify engineer of any problems _ <br /> r <br /> Comments, remarks, etc from Field Staff(include problems encountered and out-of-scope work) <br /> ❑ Samples taken V-Samples not required b� Soil vapor ❑ Groundwater ❑ Air Sparge <br /> (Weekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> Shaw E & I Inc. Completed by Date / 0 A 4�✓ <br />