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J <br /> r& <br /> IFIELD SERVICES 1 O& M REQUEST <br /> t na ,, rf,•s;Yac sY fi`{. '' tY+„c.a�.{rY<:t t+s.cyt <br /> '` 'v'$vHv1}'<YEYS,WIry=i a 4vXaa..svinH ir4?4'TryvaC'f v$So'Ka kiv'+ixa`w4Y nr#x r�rv^a Yr`ya'"M �sc <br /> µITE INFORMATION FORM <br /> or <br /> Y <br /> v 4pv fnvi.oLbtvrOvSx•,.,C'o#: .Y,. <br /> Ck...va S Sv v4i.n <br /> Identification Project Tyle Client Don Rodgers <br /> Project# 880-039 1A ❑ 1st Time Visit Client P O C Don Rodgers <br /> Task# 01030000 ❑ Quarterly Date of Request <br /> Site Address: 818 W Charter Wa ❑ 1 st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Sto0don,CA ❑ Monthly Laboratory Sequoia Anal ical <br /> IStatton 1,13# - NIA ❑ Semi-Monthly <br /> County.* San Joaquin ® Weekly <br /> � z <br /> Project Maga en ,Tom A[Wh�4 °' PEIOne Time Event <br /> Requestor ❑ Other <br /> Field Tasks: For General Description <br /> I ➢ Site requires weekly visits <br /> ➢ —Sample s stern Inf/Effl once a month and submit for GAS/BTEX analysis normal TAT <br /> ➢ Perform routine maintenance <br /> ➢ <br /> Complete attached data sheets <br /> ➢ <br /> Optimize s stem Performance based upon FID concentrations <br /> ➢ Sample sstem once a month and submit for GASBTEX analysis normal TAT <br /> ➢ Notify engineer of any problems <br /> Comments remarks etc from Field Staff include Problei ered and out-of-sco a work <br /> iSamples taken ❑ Samples not required �-Sod vapor ❑ Groundwater E] Air Sparge <br /> ❑ Weekly R�-Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> IT Corporation Completed by Date Date <br />