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FIELD SERVICES!O& M REQUEST <br /> [SITE <br /> IN ORMATION FORM r <br /> ({ '(L w.Y {}Av vE Yrni F frl <br /> Y' � <br /> ` Identification Project Type <br /> Client Don Rodgers <br /> Project# 880-039 1 A ❑ 1st Time Visit Client P O C Don Rodgers <br /> Task# 01010000 ❑ Quarterly Date of Request <br /> Site Address 615 W Charter Way ❑ 1 st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Stockton,CA ❑ Monthly Laboratory Sierra Analytical <br /> Station LDI N/A ❑ Semi-Monthly <br /> County, San Joaquin <br /> ,,.._.,..—.— ® Weekly <br /> Project Manager David Herzog ❑ One Time Event <br /> Requestor ❑ Other <br /> Field Tasks: For General Description <br /> ➢ Site requires weeklysits <br /> ➢ Sample system lnfl/Effl once a month and submit for GASBTEX analysis normal TAT <br /> ➢ Perform routine maintenance <br /> Complete attached data sheets <br /> Optimize s tem performance based upon FID concentrations <br /> Sample system once a month and submit for GASBTEX 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 KI–Samples not required tO Sod vapor ❑ Groundwater ❑ Air Sparge <br /> JZLWeekly EllSemi-Monthly ❑ Monthly ❑ Quarterly –1 Semi-Annual <br /> Shaw E & l Inc. Completed by 'V`� Date f 2 �3 <br />