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r <br />' FIELD SERVICES 10 & M REQUEST n <br /> SITE INFORMATION FORM '7777, n > " ' `'r <br />' Identification Project Type Client <br /> Don Rodgers <br />' Protect# 880-039 1A ❑ 1st Time Visit Client P O C Don Rod ers <br /> Task# 01020000 ❑ Quarterly Date of Request <br /> Site Address' 515 W_Chatter Way ❑ 1st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Stockton, Cly ❑ Monthly Laboratory Sierra Analytical <br /> Station J_D# N/A ❑ Semi-Monthly <br /> County_ _San.Joaquin - ® Weekly <br /> Protect Manager David-Hemg David-Hem ❑ One Time Event <br /> Requestor ❑ Other <br /> Field Tasks: For General Description <br /> ➢ Site requires weekly visits <br /> ➢ Sample system (Infl/Effl) once a month and submit for GASIBTEX analysis normal TAT <br /> ➢ Perform routine maintenance <br /> _ ➢ Complete attached data sheets _ <br /> ➢ e <br /> stem <br /> Optimize s performance mace based upon p y p_ _ _ p FID concentrations <br /> ➢ Sample sstem once a month and submit for GASIBTEX 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 /> ❑ Samples taken �_Samples not required 0-Soil vapor ❑ Groundwater ❑ Air Sparge <br />' P-Weekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> Shaw E & I Inc. Completed by Date <br />