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FIELD SERVICES ! O & M REQUEST <br /> SITE 1NFORMATiON FORM N n <br /> Identification Protect Type Client <br /> — Don Rodgers <br /> Project# 880-039 1A ❑ 1st Time Visit Client P O C Don Rod ers <br /> Task# 01010000 ❑ Quarterly Date of Request <br />' Site Address 515 W Charter Way ❑ 1 st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Stockton,GA ❑ Monthly Laboratory Sierra Analytical <br />' Station I_D_# NIA ❑ Semi-Monthly <br /> County San Joaquin ® Weekly <br /> Protect Manager David Herzog ❑ One Time Event <br /> Requestor ❑ Other <br /> Field Tasks- For General Description <br /> ➢ Site req uires weekly visits <br /> ➢ Sample system (1nfl/Effl) once a month and submit for GASISTEX analysis normal TAT <br /> ➢ Perform routine maintenance <br /> ➢ <br /> Complete attached data sheets <br /> ➢ <br /> Optimize 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-sco o work <br /> Samples taken ❑ Samples not required Soil vapor ❑ Groundwater ❑ Air Sparge <br /> ❑ Weekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> Shaw E & I Inc. Completed by WIJ.- Date I o At <br />