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+1 r <br /> FIELD SERVICES 10& M REQUEST <br /> =SITEFORMATION FORM <br /> ^nx sx.J yr x,. V.`<:s,r`;'„c•-•$:?..:�"*'... �i<n 4 --a'r i�S.�i,i4�`}.."`5. as r �., sic- oc,,.,,:Y� <br /> sc<. ". ,. •c, 0»n ..re;o. .'e'c A., s. s'::£ 4-x gty3� >a ^cc-c,'•,,.,sx ;;:` <br /> ?r.. `i; s t>rri,csv ;Y•'Y++..Ay.'.nsin rsifai`..5:' ` r. 'vd" ..ti{,.M1� <br />' Identification Project Type <br /> Client Don Rodgers <br /> Protect# 880-039 1A ❑ 1st Time Visit Client P O C Don Rodgers <br /> Task# 01020000 ❑ Quarterly Date of Request <br />' Site Address' 515 W_ Charter Way ❑ 1 st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> Stockton, CA. ❑ Monthly Laboratory Sierra Analytical <br /> Station f_D# N/A ❑ Semi-Monthly <br /> County San Joa uln ® Weekly <br /> Protect Manager David Herzog ❑ One Time Event <br />' Requestor ❑ Other <br /> Field Tasks: For General Description <br /> ➢_ Site requires weekly visits <br /> ➢ Sample sstem 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 sstem once a month and submit for GAS/BTEX analysis normal TAT <br />' ➢ Notify engineer of any problems <br /> 1 <br /> 1 <br />' Comments, remarks, etc from Field Staff(include problems encountered and out-of-scope 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 Date I <br />