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�s <br /> FIELD SERVICES 1 O & M REQUEST <br /> a <4 ,c>v k.,o- <br /> SITE INFORMATION FORM r v H x v wx N' <br /> t! <br /> Y S~� }i v}.�} A N 4 <br /> Identification Proiect Type <br /> Client Don Rodgers <br /> Project# 880-039 1A ❑ 1st Time Visit Client P O C Don Rodgers <br /> Task# 01020000 ❑ Quarterly Date of Request <br /> Site Address- 515 W_Charter Wa ❑ 1 st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Stockton, CA ❑ Monthly Laboratory Sequoia Analytical <br /> Station I.I.}# N/A ❑ Semi-Monthly <br /> County, San Joaquin ® Weekly <br /> Protect Manager David Herzog ❑ One Time Event <br /> Requestor ❑ Other <br /> Field Tasks: For General Description <br /> ➢ Site requires weekly visits _ <br /> ➢ Sample system (Infl/Effl) once a month and submit for GAS/BTEX analysis normal TAT <br /> ➢ Perform routine maintenance <br /> ➢ Complete attached data sheets _ <br /> ➢ <br /> Optimize system performance based upon FID concentrations <br /> ➢ Sample system once a month and submit for GASIBTEX analysis normal TAT <br /> ➢ Notify engineer of any problems <br /> T <br /> Comments, remarks, etc from Field Staff(include problems encountered and out-of-scope work) <br /> ❑ Samples taken ❑ Samples not required ❑ Soil vapor ❑ Groundwater ❑ Air Sparge <br /> ❑ Weekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> rShaw E & I Inc. Completed by Date <br />