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' FIELD SERVICES 1 O& M REQUEST <br /> SITE INFORMATION FORM <br /> f^ 4hr`.f. U.`c* h r<5a. J y >'-rfn,' r��4{•rv. !! r - �MuuuSSSigr ns d1`..a.. <br /> .,:v'c�.,r '^ aY•. ! .d����sf�v.'2'�'}�.� `d s rla' triwa'irr{a.�ya'F� °`�+.� {,,� .c .l;r�;f vVll�i1 <br /> Identification Proiect Type Client <br /> Don Rodgers <br /> Project# 880-039 1 A ❑ 1 st Time Visit Client P O C Don Rodgers <br /> Task# 01020000 ❑ Quarterly Date of Request <br /> Site Address, 815 W_ Charter Way ❑ 1 st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Sto*ton, CA ❑ Monthly Laboratory _Sierra Analytical <br /> Station t_D# NIA ❑ Semi-Monthly <br /> County _Sart Joaquin ® Weekly <br /> Project Manager David Herrn ❑ One Time Event <br /> Requestor ❑ Other <br /> Field Tasks: For General_D-es_cription _ <br /> Site requires weekly visits <br /> D Sample system (Infl/Effl) once a month and submit for GAS/BTEX analysis normal TAT ' <br /> ➢ Perform routine maintenance <br /> ➢ Complete attached data sheets <br /> Optimize system performance based upon FID concentrations <br /> Sample system once a month and submit for GASIBTEX 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 'Samples not required oil vapor ❑ Groundwater ❑ Air Sparge <br /> Dn-Weekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> All. <br /> N41 <br /> Shaw E & I Inc. Completed by V Date d <br />