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FIELD SERVICES 1 O & M REQUEST <br /> SITE INFORMATION FORM <br /> Identification Protect Type Client Don Rodgers <br /> T <br /> roject# 880-039 1A ❑ 1st Time Visit Client P O C Don Rod ers <br /> ask## 01030000 ❑ Quarterly Date of Request <br /> Site Address. 515 W_ Charter Way [:31st ❑ 2nd ❑ 3rd [:] 4th Ideal Fteld Date(s) <br /> Stockton, CA ❑ Monthly Laboratory Sequoia Analytical <br /> Station I_D# N/A ❑ Semi-Monthly <br /> County 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 /> ➢ Complete attached data sheets <br /> y 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. f om Field Staff b6clude 7roblems encountered and out-of-scope work <br /> k <br /> Samples taken ❑ Samples not required oil vapor ❑ Groundwater ❑ Air Sparge <br /> zf—weekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> IT Corporation Completed by _ Y ' Date '� <br />