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1 , <br /> FIELD SERVICES 10 & M REQUEST <br /> SITE INFORMATION FORM <br /> .4 !'' .�i?` xf4C. `i• $fil+ q1 Ah,.0 <br /> Identification Project Type Client Don Rodgers <br /> Protect# 884-039 1A ❑ 1st Time Visit Client P O C Don Rod fn <br /> Task# 010100oo _ ❑ Quarterly Date of Request <br /> Site Address 1 515 W_Charter Way ❑ 1st ❑ 2nd ❑ 3rd ❑ 4th ideal Field Date(s) <br /> Stockton,CA ❑ Monthly Laboratory Sierra Analytical <br /> Station LD# NIA ❑ Semi-Monthly <br /> County San 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 system (Infl/Effl) 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 GASIBTEX analysis normal TAT <br /> ➢ <br /> Notify engineer of any problems <br /> Comments, remarks, etc from Field Staff(include problems encountered and out-of-scope work) <br />�r <br /> ❑ Samples taken �amples not required .Soil vapor ❑ Groundwater ❑ Air Sparge <br /> Weekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> Shaw E & I Inc. Completed by Date 11 <br />