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' FIELD SERVICES 10& M REQUEST <br /> . SITE INFORMATION FORM <br /> Identification Proiect Type <br /> Client Don Rodgers_ <br /> - <br /> Protect# 880-039 1A ❑ 1st Time Visit Client P O C Don Rodgers <br /> Task# 01020000 ❑ Quarterly Date of Request <br /> Sfte Address _515 W. Charter Way ❑ 1 st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Stockton, CA ❑ Monthly Laboratory Sierra Analy_tica! _ <br /> Station t_[3# NIA ❑ Semi-Mopthly <br /> County. Safi 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 /> ➢ Sample sstem Infl/Effl 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 /> 1 ➢ Notify engineer of any problems _ <br /> Comments remarks etc from Field Staff include problems encountered and out-of-scope work <br /> �amples taken ❑ Samples not required Soil vapor ❑ Groundwater ❑ Air Sparge <br /> 9-Weekly ❑ Semi-Monthly ajr4AAonthly ❑ Quarterly ❑ Semi-Annual <br /> Shaw E & I Inc. Completed by Date `�/ <br />