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FIELD SERVICES ! O 8t M REQUEST <br /> ~ <br /> SITE INFORMATION FORM <br /> Pro ect Type Identification 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 Wa ❑ 1 st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Stockton, CA ❑ Monthly Laboratory Sequoia Analytical <br /> Station I D# 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 <br /> Site r vires weekly visits <br /> Sample system (lnfl/Effl) once a month and submit for GAS/BTEX analysis normal TAT <br /> Perform routine maintenance ' <br /> ➢ <br /> Complete attached data sheets <br /> • ➢ optimize system performance based upon FID concentrations <br /> 9 Sample system once a month and submit for GAS/BTEX analysis normal TAT <br /> ➢ Notify engineer of any problems <br /> 1 <br /> 1 <br /> Comments, remarks, etc from Field Staff(include problems encountered and out-of-scope work) <br /> ❑ Samples taken )Samples not required9—Soil vapor E] Groundwater E] Air Sparge <br /> 9—WeeklyElSemi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual ' <br /> • IT Corporation Completed by Date / <br /> 1 <br />