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FIELD SERVICES 1 O& M REQUEST N <br /> SITE INFORMATION FORM <br /> Identification Protect Type Client Don Rodgers <br /> Project# 880-039 1A ❑ 1st Time Visit Client P O C J Don Rodgers <br />' Task# 01010000 ❑ Quarterly Date of Request <br />' Site Address- 515 W. Charter Wa ❑ 1 st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Stockton,CA ❑ Monthly Laboratory Sierra Analytical <br /> Station I-D# NIA ❑ Semi-Monthly <br /> County= San Joaquin ® Weekly <br /> Project Manager David Herzog ❑ One Time Event <br /> Requestor ❑ Other <br /> Field Tasks• For General Description <br /> ➢ Site requires weekly visits <br /> ➢ <br /> Sample sstem Infl/Effl once a month and submit for GASfBTEX analysis normal TAT <br /> ➢ Perform routine maintenance <br /> ➢ <br /> Complete attached data sheets <br /> ➢ <br /> optimize system performance based upon FID concentrations <br /> ➢ <br /> Sample sstem once a month and submit for GAS/BTEX analysis normal TAT <br /> ➢ <br /> Notify engineer of any problems <br /> Comments, remarks, etc from Feld Staff iinclude problems encountered and out-of-scope wow <br /> ❑ Samples taken r4 Samples not required Soil vapor ❑ Groundwater ❑ Air Sparge <br /> Weekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Sema-Annual <br /> Shaw E & i Inc. Completed by Date LIU 60y <br />