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FIELD SERVICES 1 O & M REQUEST <br /> SITE INFORMATION FORM <br /> Identification Prolect�e Client Don Rodgers <br /> Project# 880-039 1 A ❑ 1 st Time Visit Client P O C Don Rodgers <br /> Task# 01030000 ❑ Quarterly Date of Request <br />' Site Address- 515 W. Charter Wa ❑ 1st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Stockton, CA ❑ Monthly Laboratory Sequoia Analytical <br /> Station I.D# 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 /> Y Sample sstem InfllEffl once a month and submit for GAS/BTEX anal sis normal TAT <br /> ➢ Perform routine maintenance <br /> ➢ Complete attached data sheets <br /> D Optimize system performance based upon FID concentrations <br /> 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-sco a work <br /> V "E' <br /> r ❑ Samples taken Samples not required ❑ Soil vapor ❑ Groundwater ❑ Air Sparge <br /> $&_Weekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> 1T Corporation Completed by Date Z r o r <br /> 1 <br />