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' FIELD SERVICES 1 O& M REQUEST <br /> SITE INFORMATION FORM v •- t ` `.} <br /> Identification Project Type Client Don Rodgers <br /> Protect# 880-039 1A ❑ 1st Time Vint Client P O C Don Rodgers <br /> Task# 01030000 ❑ Quarterly Date of Request <br /> Site Address- 515 W_ Charter Wa ❑ 1 st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Stockton, CA ❑ Monthly Laboratory Sequoia Analytical <br /> Station 1.0# N/A ❑ 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 (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 />' 9 Sample sstem 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 /> Samples taken ❑ Samples not required /t~Soil vapor ❑ Groundwater ❑ Air Sparge <br /> Weekly ❑ Semi-Monthly 5"onthly ❑ Quarterly ❑ Semi-Annual <br /> or oratll <br /> C loCompleted by DateD <br /> IT <br />