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w <br /> FIELD SERVICES 1 O & M REQUEST * 4 <br /> .V}~ S+a,~,�}4. �r S v?�.l.%'�� ^M1 j S '" vNt ,yu ti+.,Y~•r.~�~j~n{~` }yvn±} .iir.. �C�vfm knJrC_[^bf0 <br /> T1-1SITE INFORMATION FORM <br /> n <br /> ,.YY"c~ �7,rx^' ,s;F r ' .s`~ Ca,vC`..o tL• +%4 "^' <br /> .v <br /> • Identification Pro_ ectType Client Don Rodgers <br /> 1 <br /> Project# 880-039 1 A ❑ 1st Time Visit Client P O C Don Rodgers <br />' Task# 03030000 ❑ Quarterly Date of Request <br /> Site Address= 515 W Charter Wa ❑ 1st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Stomion. CA ❑ Monthly Laboratory Sequoia Analytical <br />' Station 1,13# N/A ❑ 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 /> 1 <br />' ^Field Tasks: For General Description <br /> ➢ Site requires weekly visits <br /> Sample sstem lnfl/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 sstem once a month and submit for GAS/BTEX analysis normal TAT <br /> ➢ Notify engineer of any problems .. <br /> 1 <br /> Comments remarks etc from Field Staff(include problems encountered and out-of-sco work <br /> 1 <br /> ❑ Samples taken amples not required oil vapor ❑ Groundwater ❑ Air Sparge <br /> Weekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> T Cor oration Completed by Date <br />