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FIELD SERVICES I O & M REQUEST <br /> SITE INFORMATION FORM =N � .'`-rte; F<•=;r <br /> S8. rr{N tiresA, <br /> Identification Protect Type Client <br /> 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. 615 W. Charter Way ❑ 1 st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Stockton,CA ❑ Monthly Laboratory Sequoia Analytical <br /> SWton 1_D# N/A ❑ Semi-Monthly <br /> ICounty- .San Joaquin - - ® Weekly <br /> Project 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 /> ➢ <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 /> Comments, remarks, etc from Field Staff(include problems encountered and out-of-scope work) <br />' �54zamples taken ❑ Samples not required L 8rnM vapor ❑ Groundwater ❑ Air Sparge <br /> ❑ Weekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> Shaw E & I Inc. Completed by Date �' <br />