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FIELD SERVICES 10& M REQUEST <br /> 1 ,a rY i,Ycv r. e- rs, a so, r ax �` Nr ,�rw:e < ,y,•fr f�jr%�'� r' / <br /> SITE INFORMATION FORM <br /> ",s- l Yv4S r ;ff�py '�'a' sf�vy,,,.. ,eti srr .✓f� i r}r � <br /> NY Wb u y >G t'+ yxa W�}f �q� vtt` Yl ri %ff 9k3y1{l stiff p r .s rt <br /> {F � 3Y Ay iy.fi< fry <br /> Identificati n Project-Type Client <br /> Don Rodgers <br />' Project# 880-039 1A ❑ 1st Time Visit Client P O C Don Rodgers <br /> Task# 01020000 ❑ Quarterly Date of Request <br />' SPe Address: 615W- Charter 11V ❑ 1 st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(s) <br /> StocMan, CA ❑ Monthly Laboratory Sierra Analytical <br /> Station 1_D# N/A ❑ Semi-Monthly <br /> Ownty- 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 /> ' ➢ Sample sstem Infl/Effl once a month and submit for GAS/BTEX analysis normal TAT <br /> ➢ Perform routine maintenance <br /> M ➢ Complete attached data sheets <br /> ➢ Optimize system performance based upon FID concentrations <br /> ➢ <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 a work <br /> mples taken ❑ Samples not required Soil vapor ❑ Groundwater ❑ Air Sparge <br /> oi�-Weekly ❑ Semi-Monthly Monthly ❑ Quarterly ❑ Semi-Annual <br /> Date <br /> Shaw E & I Inc. Completed by <br /> 2'Z•�a3 <br />