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n <br /> FIELD SERVICES 1 O & M REQUEST <br /> ITE INFORMATION FORM 'Y` = <. X �,v Y ,4 ter; •;4 l <br /> J } ~j~ AI. µr•S' ...y 3^'+.1'ttv'p'...li'}..Au..M1x 2} i4Y>.ter'N4x'.SIS <br /> Identification Protect Type 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 515 W: Charter Way ❑ 1 st ❑ 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 /> Project Manager L`_ ❑ One Time Event <br /> Requestor ❑ Other <br /> Field Tasks: For General Description <br /> ➢ Site requires weekly visits <br /> ➢ Sample sstem Inn/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 system performance based upon FID concentrations <br /> ➢ <br /> Sample sstem once a month and submit for GAS/BTEX anal sis normal TAT <br /> ➢ Notify engineer of any problems <br /> Comments remarks etc.from Field Staff include oroblerns encountered and out-of-scope work <br /> r_�J <br /> i <br /> ❑ Samples taken Pn'-Sampies not required Soil vapor ❑ Groundwater ❑ Air Sparge <br /> Weekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> IT Corporation Completed Icy �`� Date J Z :3A , <br /> r <br />