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FIELD SERVICES I O & M REQUEST <br /> INFORMATION FORM <br /> SITE <br /> T i�l o n!'•#s.,,'.'y-x:n o y 9.' s.Y`, �'2�ih`i/4 s'"'r,r�'rN`�2 t�i'•r^'�a. f•,F ms's' <br /> t .'rc :r,Ct`- �r.:w y` ✓...�''��tJw %``.>'r€'- �s"��1 <br /> Identification Proiect Type Client <br /> Don Rod ers <br /> Project# 880-039 1A ❑ 1st Time Visit Client P O C Don Rodgers <br /> Task# 01030000 ❑ Quarterly Date of Request <br /> Site Address 515 W_ Charter Way ❑ 1st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Stockton, CA ❑ Monthly Laboratory sea, <br /> Station LD# NIA ❑ Semi-Monthly g ' <br /> County San Joa uln ® Weekly <br /> Project Manager ❑ One Time Event <br /> Requestor Kathleen Waldo ❑ 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 /> ➢ <br /> Optimize system erformance based v on FID concentrations <br /> ➢ <br /> Sample sstem once a month and submit for GAS/BTEX analysis normal TAT <br /> ➢ Noti engineer of any problems <br /> Comments remarks etc.from Field Staff include Problems encountered and out-of-scope work <br /> i <br /> �m <br /> amples taken ❑ Samples not required 0Soil vapor <br /> Groundwater ❑ Air Sparge <br /> F—Weekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> IT Corporation Completed by Date 4 <br />