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1 <br /> 3 <br /> FIELD SERVICES 1 O & M REQUEST <br /> all SITE INFORMATION FORM <br /> H4~/ <br /> Identification Project Type Client Don Rodgers <br /> Protect# 880-039 1A ❑ 1st Time Visit Client P O C Don Rodgers <br /> Task# 03030000 ❑ Quarterly Date of Request <br /> Site Address'. 515 W Charter Way ❑ 1st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Stockton, CA �^ ❑ Monthly Laboratory Sequoia Analytical <br /> Station I.D# NIA ❑ Semi-Monthly Mileage <br /> County San Joaquin ® Weekly Budget Hours <br /> Protect Mana T[[n Anens n ❑ One Time Event Actual Hours <br /> Reque at eens a_ T E:1OtherMob/Demob <br /> Field Tasks- For General Description T <br /> ➢ Site requires weekly visits _ <br /> ➢ Sample system (Intl/Effl) once a month and submit for GAS/BTEX analysis normal TAT _ �s <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 GAS/BTEX analysis normal TAT <br /> ➢ Notify engineer of any problems <br /> i <br /> i <br /> Comments, remarks, etc from Field Staff (include problems encountered and out-of-scope work) <br /> ❑ Samples taken Samples not required Soil vapor ❑ Groundwater ❑ Air Sparge <br /> Weekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> IT Corporation Completed by Date <br />