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FIELD SERVICES 10 & M REQUEST <br /> ITE INFORMATION FORM ` ~ �<� ��„k< ���,,,,. �.��, �." •a;�,� �{-y3.. :��� t< `,Xr.FJAYsx°; �� 's.,.~ow xc.y" <A <br /> Identification Proiect Type Client Don Rodgers <br /> Project# 880-039 1A ❑ 1st Time Visit Client P O C Don Rodgers <br /> iTask# 03030000 ❑ Quarterly Date of Request <br /> Site Address` 51.5 W:Charter Wa ❑ 1st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br />' Stockton,CA ❑ Monthly Laboratory Sequoia Analytical <br /> Statibn 1.13# N A ❑ Semi-Monthly Mileage <br /> County: Sar`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 weekly visits <br />' ➢ Sample sstern lnfl/Effl once a month and submit for GAS/BTEX analysis normal TAT <br /> ➢ Perform routine maintenance <br /> ➢ Complete attached data sheets <br /> ➢ <br /> optimize s stem performance based upon FID concentrations <br /> ➢ Sample sstem once a month and submit for GAS/BTEX analysis normal TAT <br /> ➢ Notify engineer of any problems <br /> 6 <br /> Comments remarks etc from Field Staff include oroblems. encountered and out-of-sco a work <br /> ❑ Samples taken Vsamples not required ✓✓✓ Sod vapor El Groundwater [3 Air Sparge <br /> Vlleekly ❑ Semi-Monthly E] Monthly ❑ Quarterly [3Semi-Annual <br /> IT Corporation Completed by Date <br /> P� <br /> 17 <br /> Io ?-s � <br />