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FIELD SERVICES 1 O& M REQUEST <br /> SI ��``r`'.:�f,s,:,rr,s f{,��;. .,:.';�Y�=N;Y,.'r'.:. s•,Yr;rrw:;,�`gin' ..���:;'»f�r,r...�h�rrry rr - ..,..r.i�r <br /> f .Sf.` 'N �4r Nl..rf�j.rs rn J$'J/rr } l/Jr.rr'Jr f"• rifr <br /> .xfs fJr j' M M 'S "{SSrG +S.r�{fY,yds ryKNJH�'v�f�r�fJi vrY`fr rY,' <br /> ' TE INFORMATION FORM Identification Pro ect Type <br /> Client Don Rodgers <br /> Protect# 880-039 1A ❑ 1st Time Visa Client P O C Don Rodgers <br /> Task# 01020000 ❑ Quarterly Date of Request <br /> ' Sfte Address 5166 Charter Way ❑ 1st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Stockton,CA ❑ Monthly Laboratory Sequoia Analytical <br /> Station 1.t3# NIA ❑ Semi-Monthly <br /> County San Joaquin ® Weekly <br /> Protect Manager ❑ One Time Event <br /> tRequestor ❑ Other <br /> ' Field Tasks: For General Descri tion <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 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 /> 1 <br /> ' ❑ Samples taken Samples not required Q!�—Soil vapor ❑ Groundwater ❑ Air Sparge <br /> Weekly ElSemi-Monthly E] Monthly [:1 Quarterly ❑ Semi-Annual <br /> 7 <br /> Shaw E & I Inc. Completed by V v " Date OD a;7_ <br /> r <br />