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' FIELD SERVICES 10 & M REQUEST <br /> 16TE INFORMATION FORM <br /> Identification Prosect 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 Way ❑ 1st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Stockton, CA ❑ Monthly Laboratory Sequoia Analytical <br /> Station 1.13# N/A ❑ Semi-Monthly Mileage <br /> County San Joaquin ® Weekly Budget Hours <br /> Project Manager Tim Anenson ❑ One Time Event Actual Hours <br /> Requestor Kathleen Waldo ❑ Other Mob/Demob <br /> Field Tasks: For General Description <br /> r Site requires.weekly visits <br /> �o Sample sstem Infl/Eff1 once a month and submit for GAS/BTEX analysis nominal TAT <br /> > Perform routine maintenance <br /> Complete attached data sheets <br /> O brnize system performance based upon FID concentrations <br /> 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 include problems encountered and out-of-scope work <br /> ❑ Samples taken amples not required 9—Soil vapor ❑ Groundwater ❑ Air Sparge <br />' Weekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> IT Corporation <br /> Completed by Date Al `' <br /> 1 <br />