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�w <br /> FIELD SERVICES 10 & M REQUEST <br /> SITE INFORMATION FORM imm <br /> i <br /> Identification Project Type Client ' <br /> Don Rodgers <br /> Project# 880-039 1A ❑ 1 st Time Visit Client P O C Don Rodgers <br /> Task# 03030000 ❑ Quarterly Date of Request <br /> Site Address', 515 W' Charter Way ❑ 1 st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Stockton, CA x ❑ Monthly Laboratory Sequoia Analytical <br /> Station 1 D# NIA ❑ Semi-Monthly Mileage <br /> County. San Joaquin ® Weekly Budget Hours <br /> Project Manager Tim Anenson ❑ One Time Event Actual Hours <br /> Requestor Kathleen Waldo ❑ Other Mob/Demob <br /> Field Tasks: For General Description <br /> ➢ Site requires week) visits <br /> ➢ Sample system (Infl/Effl) once a month and submit for GAS/BTEX 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 GAS/BTEX analysis normal TAT <br /> ➢ Notify engineer of any problems <br /> Comments remarks etc from Field Staff include problems encountered and out-of-scope work <br /> ❑ Samples taken �amples not required _&Sod vapor ❑ Groundwater ❑ Air Sparge <br /> D6—Weekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual j <br /> IT Corporation Completed by Date Z/I <br />