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_ 1 <br /> FIELD SERVICES 10 & M REQUEST <br /> SITE INFORMATION FORM E <br /> 01 Type Client <br /> Identification Pra ect T-�— yDon Rodgers i <br /> Project# 880-039 1A ❑ 1st Time Visit Client P O C Don Rodgers <br /> Task# 03030000 ❑ Quarterly Date of Request <br /> Site Address: 515 W. Charter Way ❑ ist ❑ 2nd ❑ 3rd ❑ 4th ideal Field Date(s) <br /> Stockton,CA ❑ Monthly Laboratory S29uoia Analytical <br /> Station I_D# N/A ❑ Semi-Monthly Mileage <br /> County, Sart Joaquin ® Weekly Budget Hours ' <br /> Project Manager Tim Anenson ❑ <br /> One Time Event Actual Hours <br /> Requestor Kathleen Waldo ❑ Other Mob/Demob ' <br /> Field Tasks: For General Description ' <br /> ➢ Site re uires weeklv visits <br /> ➢ Sample stem Infl/Effl once a month and submit for GAS/BTEX analysis normal TAT ' <br /> ➢ Perform routine maintenance <br /> ➢ Com tete attached data sheets <br /> . ➢ optimize s stem performance based uDon FID concentrations <br /> ➢ Sam les stem 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 problerns encountered and out-of-sco a work <br /> `P <br /> ❑ Samples taken X-Samples not required XSoll vapor ❑ Groundwater ❑ Air Sparge <br /> Weekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual AllftO <br /> Date <br /> IT Corporation Completed by <br /> 1 <br />