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FIELD SERVICES 10 & M REQUEST <br /> ` .sc J.. ~ .. ` wc. s nl :<•,-s c�n�: l+�c.'.... < <br /> VSITE INFORMATION FORM entification Prosect Type Client Don Rodgers <br /> Protect# 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 Way _ ❑ 1 st E] 2nd El 3rd [I 4th Ideal Field Date(s) <br />' Stockton, CA _ ❑ Monthly Laboratory Sequoia Analytical <br /> Station 1.13# NIA ❑ Semi-Monthly Mileage <br /> County, San Joaquin ® Weekly Budget Hours <br /> Protect Manager Tim Anenson ❑ One Time Event Actual Hours <br /> Requestor Kathleen Waldo ❑ Other Mob/Demob <br /> Field Tasks: For General Description <br /> ➢ Site requires weekly visits <br /> Sample sstem Infl/Effl once a month and submit for GAS/BTEX analysis normal TAT <br /> ➢ Perform routine maintenance <br /> A Complete attached data sheets <br /> ➢ optimize system performance based upon FID concentrations <br /> 9 Sample sstem once a month and submit for GAS/BTEX analysis normal TAT <br /> Notify engineer of any problems <br /> Comments, remarks, etc from Field Staff fmclude problems encountered and out-of-scope work) <br /> 1 <br /> ❑ Samples taken Samples not required ❑ Sod vapor ❑ Groundwater ❑ Air Sparge <br /> Weekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> IT Corporation on Completed by _ 1 , y Date f <br />