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FIELD SERVICES 10 & M REQUEST <br /> SITE INFORMATION FORM <br />' Identification Project Type <br /> Client Don Rodgers <br /> Protect# 880-039 1A ❑ 1st Time Visit Client P O C Don Rodgers <br /> Task# 01020000 ❑ Quarterly Date of Request <br /> Stte Address- 51S W- Chatter Way ❑ 1st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Stockton, CA ❑ Monthly Laboratory Sequoia Analytical <br /> Station LD# IIIA ❑ Semi-Monthly <br /> County, _San Joaquin ® Weekly <br /> Protect Manager ❑ One Time Event <br /> Requestor Kathleen Waldo ❑ Other <br /> Field Tasks: For General Description _ <br /> ➢ Site re_quires weekly visits <br /> ➢ Sample system (Infl/Effl) once a month and submit for GASIBTEX analysis normal TAT <br /> ➢ Perform routine maintenance <br /> ➢ Complete attached data sheets - <br /> _._ ➢ concentrations <br /> Optimize system performance based upon FID concentr _ - - <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 Samples not required ❑ Soil vapor ❑ Groundwater ❑ Air Sparge <br /> eekly Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> Completed by <br /> Shaw E & I Inc. Date <br />