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FIELD SERVICES 10 & M REQUEST <br /> t .Vdoc }' ssx�yxn 'ka'. 7.7 <br /> SITE INFORMATION FORM { r}�h n Ay -, �xx >thr <br /> ® Kit 's t .rcx `f'`',.V.c, tiw wove s,a <br /> Identification Prosect Type Client <br /> Don Rodgers <br /> Protect# 580-039 1A ❑ 1st Time Visit Client P Q 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 /> Countr San Joaquin ® Weekly Budget Hours ' <br /> Protect Manager Tim Anenson ❑ One Time Event Actual Hours <br /> Requestor Kathleen Waldo ❑ Other Mob/Demob , <br /> Field Tasks- For General Description <br /> y Site requires weekly v�s�ts <br /> Sample system (Infi/Effl) once a month and submit for GAS/BTEX analysis normal TAT <br /> Perforin routine maintenance <br /> ➢ Complete attached data sheets <br /> ® ➢ Optimizes stem 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 wow <br /> go F <br /> ❑ Samples taken Samples not required ,Soil vapor ❑ Groundwater ❑ Air Sparge <br /> Weekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> IT Cor oration Completed by Date <br />