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FIELD SERVICES / O&M REQUEST Work Order# 52 19 <br /> S it IC l�i��'4VI�TlC�fl1! FO�P�I -315' ���41 <br /> • ldenttt anon Project Type <br /> Project ;r ❑ 1st Time Visit Client P O C <br /> Station <br /> ❑ Quarterly Date of Request <br /> Site Address <br /> /�j�� ❑ 1st ❑ 2nd ❑ 3rd ❑ 4th Ideal field date(s) <br /> /r77 ❑ Monthly <br /> County ❑ Semi-Monthly Check Appropriate Cate o <br /> Project Manager _ ❑ eekly Budget Hrs <br /> Requestor�w4Y�_416 <br /> One time event �� �r}-�S <br /> Actual rs <br /> Client u ❑ Other Mob de Mo =�•S <br /> Field Tasks: For General Descri tion = <br /> circle one `7 <br /> Priority 1 (emergency, must be done within 24 his), 2 (next visit), 3 (when available) f <br /> 412 <br /> 1 <br /> Comments, r2mprks, etc fr m Field Staff in ! r ! ma encountered an - f- work) <br /> i <br /> . ❑ Samples taken Samples not required ❑ Soil Vapor ❑ Groundwater <br /> ❑ weekly Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> / <br /> PACIlEIC ENVIPONMENTAL GROUP, INC Completed by Date <br /> Checked by <br /> White Coov-Orminator Yellow Copy 0 h M Tech Prnk Cocv File <br />