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f r <br /> E <br /> i <br /> I <br /> FIELD SERVICES /O & M REQUEST <br /> SITE INFrN�r.f, <br /> ORMATION FORM <br /> .ff�r v4 }Yf nMW 4w. "SY ^•J }l.-r f'l A}.r Fi'} +x5YyThr.ry}5.+]++.� J� {v+ ¢4 i-{' <br /> Identification Protect Type <br /> Client ; <br /> Protect# 880-039 1A ❑ 1st Time Visit Client P O C Don Rodgers <br /> Task# 01010000 ❑ Quarterly Date of Request <br /> Sake Address- 515 W_ ChanerWay ❑ 1st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Stockton, CA ❑ Monthly Laboratory Sierra Analytical <br /> Station I-D,# N/A ❑ Semi-Monthly <br /> County San Joaquin ® Weekly <br /> Project Manager David_ Herzog ❑ One Time Event <br /> Requestor ❑ Other <br />' Field Tasks: For General Description <br /> Site requires weekly visits <br /> Sample systems/Effi) once a month and submit for GAS/BTEX analysis normal TAT <br /> Perform routine maintenance <br /> Complete attached data sheets <br /> Optimize stem performance based upon FID concentrations <br /> ➢ Sample system once a month and submit for GASIBTEX analysis normal TAT <br /> _ D Notify engineer of any problems <br /> 1 <br /> i <br /> Comments, remarks, etc from Field Staff(include problems encountered and out-of-scope work) <br /> 1 <br /> Samples taken ❑ Samples not required Cgsoii vapor ❑ Groundwater ❑ Air Sparge <br />' P-Weekly ❑ Semi-Monthly Monthly ❑ Quarterly ❑ Semi-Annual <br /> Shaw E & I Inc. Completed by Date Lj�_45 <br /> r <br />