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FIELD SERVICES 1 O&M REQUEST Work Order # 5 2 1 D <br /> ver <br /> N <br /> 01— INFORMATION ORM <br /> Identification Prosect Type <br /> Project# 3jD_0 a 3� ❑ lstTlme Vint Client P O C <br /> Station # ❑ Quarterly Date of Request /S <br /> Site Address ❑ 1 st ❑ 2nd ❑ 3rd ❑ 4th Ideal field date(s) <br /> pil 17 AN/ <br /> ❑ Monthly <br /> �T��TQ►-t. <br /> Coon � ❑ Semi-Monthly Check A1213ropriate Cate o <br /> meekly Budget Hrs <br /> Project Manager <br /> Reouestor '1 One time event Actual Hrs <br /> Client. � a <br /> ❑ Other Mob de Mob <br /> Field Tasks: For General Description <br /> circle one <br /> Priority 1 (emergency, must be done within 24 hrs), 2 (next visit), 3 (when available) <br /> �6" <br /> 'PLC--,G IA. LL&IE FIZ_loiL ib VNO 1f,JFLOEN1 �11t?f6 1+° I 1U <br /> � Camp fi>ro�Jt `E �Q �Ltr_o t}Atc3c� (\�cs�i�D d EA MNL <br /> 1� ��C T� E otA 'F `TP - B;Ex <br /> A,•��Lys I _ Co�B 1��i I�N �ol� �>� ��c� �s � �'B S � - 'I <br /> 1 tJ Fwp.�i azo F-r-f:kuQY 1 FID 1 6� <br /> o rPet T9S <br /> mm r m Field n r - f- <br /> Vv C T <br /> �. amp-les taken ❑ Samples not required 'Soil Vapor ❑ Groundwater <br /> ❑ <br /> Weekly [D Semi-monthly ❑ Y <br /> -Monthl Month{ Quarterly ❑ Semi-Annual <br /> Completed by Date <br /> PACIFIC ENVIRONMENTAL GROUP INC Checked by <br /> veliPink Ca File <br /> ,,.. r.,.,.,.n x,Msect, __ PY <br />