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� 1 <br /> FIELD SERVICES 1 O & M REQUEST <br /> SITE INFORMATION FORM <br /> vii ` fir rYi.Yss{r <br /> Type <br /> Identification Pro ect T Yt . Client Don Rodgers <br /> �7 <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 Way [:11 st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Stockton, CA ❑ Monthly Laboratory Sequoia Analytical <br /> Station 1.13# NIA ❑ Semi-Monthly <br /> County San Joaquin ® Weekly <br /> Protect Manager .rt 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 /> D Optimize system performance based upon FID concentrations <br /> Sample system once a month and submit for GAS/BTEX analysis normal TAT _ <br /> D Notify engineer of any problems <br /> Comments remarks, etc from Field Staff(include problems encountered and out-of-scope work) <br /> a <br /> ❑ Samples taken VLSamples not required O-Soil vapor ❑ Groundwater ❑ Air Sparge <br /> I-Weekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual , <br /> IT Comoration Completed by 1 t/ LJ Date �- r <br /> , <br />