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i <br /> FIELD SERVICES 1 O & M REQUEST <br /> SITE INFORMATION FORM <br /> Identification Prosect Type Client <br /> Don Rodgers <br /> Project# 880-039 1A ❑ 1st Time Visit Client P O C Don Rodgers <br /> 1 Task# 01020000 ❑ Quarterly Date of Request <br /> Site Address 515 W_ Charter Way ❑ 1st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> IStockton, CA ❑ Monthly Laboratory Sequoia Analytical <br /> Station 11.13# NIA ❑ Semi-Monthly <br /> County San Joaquin ® Weekly <br /> Project Manager David Herzog _ ❑ One Time Event <br /> Requestor ❑ Other <br /> 1 <br /> Field Tasks: For General Description <br /> ➢ Site requires weekly visits <br /> ^ ➢ Sample system (Inf/Effl) once a month and submit for GASIBTEX 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 /> Comments, remarks, etc from Field Staff(include problems encountered and.out-of-scope work <br /> ❑ Samples taken �amples <br /> not required Soil vapor ❑ Groundwater ❑ Air Sparge <br /> P-Weekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> Shaw E & I Inc. Completed by Date it It w_ <br /> 1 <br />