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FIELD SERVICES 10 & M REQUEST <br /> +}l�.m 4.. * . "i'''r.a'-:Sr c+N�n,+t'3 7.Citt 4' S�ry••eivs`ry^•�A{ ``ar�wcryry r.a$� 0+4]6`4� 4`�r0^^'JJ,�M's`'.ri{o~C'4R xN+Y <br /> SITE INFORMATION FORM '' °< w!>µY r 4µmv- v;. ,YA, , 4t„,,h.w 'i7. w• E <br /> Identification Project Type Client Don Rodgers <br /> Project# 880-039 1 A ❑ 1 st Time Visit Client P O C Don Rod ers <br /> Task# 03030000 ❑ Quarterly Date of Request <br /> Site Address: 515 W. Charter Wa [] I st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Stockton, CA ❑ Monthly Laboratory Sequoia Analytical <br /> Station 1 D# N/A ❑ Semi-Monthly Mileage <br /> Countyt Sari Joaquin ® Weekly Budget Hours <br /> Project Manager Tom Allan ❑ One Time Event Actual Hours <br /> Requestor Kathleen Waldo ❑ Other Mob/Demob <br /> Field Tasks- For General Descri tion , <br /> ➢ Site requires weekly visits <br /> ➢ Sample sstem Infl/Effl once a month and submit for GAS/BTEX anal sis normal TAT <br /> ➢ Perform routine maintenance t <br /> ➢ <br /> Complete attached data sheets <br /> ➢ optimize system performance based upon FID concentrations <br /> ➢ Sam les stem once.a month and submit for GASIBTEX analysis normal TAT <br /> ➢ <br /> Notify engineer of any problems <br /> Comments remarks etc.from Field Staff finclude Droblems encountered and out-of-scope work <br /> V—Samples P,per" E] S a taken ❑ Samples not required oil vapor Groundwater ❑ Air Sparge <br /> Weekly ❑ Semi-Monthly Monthly ❑ Quarterly ❑ Semi-Annual <br /> IT Corporation Completed by <br /> � Date <br /> i <br />