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i <br /> r , <br /> ' FIELD SERVICES 1 O & M REQUEST <br /> SITE INFORMATION FORM <br /> „y �t :�:v.c i'�3` "r ,r r'r„�•rrr ,rr,J 4 <br /> N4� ^s 'r.• u'n,.s. '::c. t :o.;;p b.r"y..r;t .'{. <br /> •.i•M1 %sr. t ,.%`,,,rc.,,,. ri+^r hrr <br /> Identification Project Type <br /> Bent Don Rodgers <br /> Protect# 880-039 1A ❑ 1st Time Visit Client P O C Don Rodgers <br /> Task# 01020000 ❑ Quarterly Date of Request <br /> Sfte Address: 845W- CharterWay ❑ lst ❑ 2nd ❑ 3rd [__14th Ideal Field Date(s) <br /> Stoddon, CA ❑ Monthly Laboratory Sequoia Analyfical <br /> Station I.0# NIA ❑ Semi-Monthly - <br /> County San Joa uin ® Weekly <br /> Protect Manager ❑ One Time Event <br /> Requestor Kathleen Waldo ❑ Other <br /> Field Tasks: For General Descrig3tion <br /> ➢ Site requires weekly visits _ <br /> i ➢_ 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 system once a month and submit for GAS/BTEX analysis normal TAT <br />' ➢ Notify engineer of any problems _..._._.....� <br /> 1 Comments, remarks, etc from Field Staff include problems encountered and out-of-scope work) <br /> 1 <br /> ❑ Samples taken Samples not required Sal vapor ❑ Groundwater ❑ Air Sparge <br /> il� Weekly LlSemi-Monthly ❑ Monthly F-1Quarterly ElSemi-Annual <br /> Shaw E & I Inc. Completed by Date 2 ,� �a` <br />