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FIELD SERVICES 10& M REQUEST <br /> x 4, `r," r a �o'„+:''” t a:w.4•.y y{ 7 w ';L:r.vyy�>7.`fi""f .4 <br /> v `,... <br /> TION FORM �ry}4` J``,r[ <br /> FSITE lNFORMA ry�sem` ��:����> � r{��� :r4. .� ,;- ,� <br /> • v .x>y4Ar}. <"�[ :4: ,.i° 4<{S�r�.. s.n •` 'F.;2,., {n,.N+v {r= , <br /> Identification Protect Type Client Don Rodgers ' <br /> Protect# 880-039 1A ❑ 1st Time Visit Client P O C Don Rodgers <br /> Task# 03030000 E:1Quartedy Date of Request <br /> Site Address: 515 W.Charter Wa ❑ 1st ❑ 2nd ❑ 3rd [:] 4th Ideal Field Date(s) <br /> Stockton, CA ❑ Monthly Laboratory Sequoia Analytical <br /> Station 1.13# N/A ❑ Semi-Monthly Mileage <br /> County Sart Joaquin ® Weekly Budget Hours , <br /> Protect Manager Tim Anenson ❑ One Time Event Actual Hours <br /> Requestor Kathleen Waldo Other I r Mob/Demob <br /> Field Tasks: For General Descri tion <br /> Site requires weeklyvisits <br /> sample sstem Infl/Effl once a month and submit for GAS/BTEX analysis normal TAT <br /> Perform routine maintenance <br /> Complete attached data sheets <br /> • : Optimize s stem performance based upon FID concentrations <br /> Sample S Istem once a month and submit for GAS/BTEX analysis normal TAT <br /> Notify en ineer of any problems <br /> Comments remarks etc from Field Staff include roblems encountered and out-of-scope work <br /> e I hegl��► ewe x—,L <br /> d � LOU, s e <br /> ❑ Samples taken Samples not required �d Soil vapor ❑ Groundwater ❑ Air Sparge a <br /> ❑ Weekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> • Date tf 2 LM t <br /> IT Corporation Completed by <br />