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FIELD SERVICES/O & M REQUEST <br /> SITE INFORMATION FORM N v k <br /> m r+�A+ zf ={O f4 ry arr ��irti. <br /> . i+h ri In +f ++�}+ F' <br /> ni-vv"s r rn�+ rr+. <br /> Identification Project Type Client <br /> Don Rodgers <br /> Protect# 880-039 1A ❑ 1st Time visit Client P O C Don Rodgers <br /> Task# 01020000 ❑ Quarterly Date of Request <br /> Site Address; 515 W:Chatter Way ❑ 1 st ❑ 2nd ❑ 3rd ❑ 4th !deal Field Date{s} <br /> Stockton, CA ❑ Monthly Laboratory I <br /> Station LD# N/A ❑ Semi-Monthly P <br /> County, —San Joaquin _ ® Weekly <br /> Protect Manager ❑ One Time Event <br /> Requestor Kathleen Waldo ❑ 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 /> ➢ Optimize system performance based upon FID concentrations <br /> ➢ Sample sstem once a month and submit for GAS/BTEX analysis normal TAT <br />�i ➢ Notify engineer of any problems _ <br /> Comments, remarks, etc from Field Staff(include problems encountered and out-of-scone work) <br /> �mples taken ❑ Samples not requiredSoil vapor El Groundwater El Air Sparge <br /> El Weekly ElSemi-MonthlyV-Monthly pe__ <br /> Quarterly ❑ Semi-Annual <br /> Shaw & IInc. Completed by Date �� <br />