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f <br /> FIELD SERVICES I O & M REQUEST <br /> SITE INFORMATION FORM y H n <br /> Identification Proiect Type Client Don Rodgers <br /> Project# 880-039 1A ❑ 1st Time Visit Client P O C Don Rodgers <br /> Task# 03030000 ❑ 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 /> Statron I_D# NIA ❑ semi-monthly Mileage <br /> tCounty, San Joaquin ® Weekly Budget Hours <br /> Project Manager Torn Allan ❑ One Time Event Actual Hours <br /> jRequestor Kathleen Waldo ❑ Other Mob/Demob <br />' Field Tasks- For General Description__ <br /> ➢ Site requires w--eekly visas <br /> ➢ Sample sstem 1nfllEffl once a month and submit for GAS/BTEX analysis normal TAT <br /> ➢ Perform routine maintenance <br /> ➢ <br /> Complete attached data sheets <br /> ➢ Optimize system eerformance based upon FID concentrations <br /> ➢ Sample sstem once a month and submit for GASIBTEX analysis normal TAT <br /> ➢ Notify engineer of any problems <br />' Comments remarks etc from Field Staff include Problems encountered and out-of-scope work <br /> r <br /> ❑ Samples taken tj--6amples not required ❑ Soil vapor ❑ Groundwater ❑ Air Sparge <br /> Weekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> JDateIT Corporation Completed by <br />