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1 r <br /> FIELD SERVICES 1 O & M REQUEST <br /> SITE INFORMATION FORM v v <br /> Identification Project Type Client Don Rodgers <br /> Protect# 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 [:] I st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> 1 Stockton, CA ❑ Monthly Laboratory Sequoia Analytical <br /> Station LD# NIA ❑ Semi-Monthly <br />' County San Joaquin ® Weekly <br /> Protect Manager Tom Allan ❑ One Time Event <br /> Requestor ❑ Other <br /> Field Tasks: For General Description <br /> > Site requires weekly visits <br /> Sample system (1nfl/Effl) once a month and submit for GASIBTEX 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 GASIBTEX analysis normal TAT _ <br /> Notify engineer of any problems <br /> j <br /> Comments, remarks, etc from Field Staff (include problems encountered and out-of-scope work) <br /> ❑ Samples taken 2 �amples not required 9L Soil vapor ❑ Groundwater ❑ Air Sparge <br /> eekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> IT Corporation Completed by v Date <br />